This is a secure merchant information form and will take you approximately 10 to 15 minutes to complete. After completing this form the information will be transfered to a Powerpays Merchant application and emailed to you to be printed, read, signed and faxed directly to the Underwriters for approval.
Note: Any Application and Gateway setup Fees will be collected after your merchant application is approved. (See the Pricing Page.)
You will need to have the following information available:

  • General Information: Legal and DBA (Doing Business As) name, Business address, and name and title of legal business signer, Business telephone number, fax number (if applicable), contact name, E-mail address, and Internet site address. Physical location information, type of ownership, and federal tax ID or SSN, date your business began and what your business sells.
  • Sales Data & Business Information: Total estimated annual credit card sales volume and estimated average ticket amount, credit card refund/return policy, manufacturer of products (if any) and order fulfillment process information.
  • Current credit card processing information: Name, address and phone number of current bankcard provider, merchant number (if any).
  • Business Owner Information: Names, addresses, phone numbers of first/second owner, partner, or officer, Title and SSN of person(s) listed.
  • Banking Information: Bank name and address, Contact name and phone number and routing numbers (have a voided check available for this information).

Note: if you have not chosen a gateway at this point, we recommend our sister company: MerchantCGI. This is a combination Gateway/Shopping system.
You can sign up for a free 30-day trial, then, if you like it, you can have it combined with your merchant account.