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Edge Merchant Group Application
Edge Merchant Group Application
edgemerchantgroup
2024-01-04T11:20:54-05:00
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Legal Business Name
*
DBA Name
*
What you want displayed on your receipt/customers bank statement
Business Address
*
City
*
State
*
Zip Code
*
Federal Tax ID
*
EIN
Business Phone Number
*
Business Email Address
*
Customer Service Email Address
*
Business Website
Business Type
*
Corporation
LLC
Sole Prop
501C or other Tax Exempt Business
Business Start Date and Length of Time
*
Merchandise/Services Sold
*
Average Ticket Amount $
*
Highest Ticket Amount $
*
Average Monthly Volume $
*
Primary Owner Name
*
D.O.B.
*
Address
*
Suite / Apartment
*
City
*
State
*
Zip Code
*
Phone Number
*
Email Address
*
Social Security Number
*
Driver License Number
*
Bank Name
*
Routing Number
*
Account Number
*
Processing Platform
*
Edge - Cash Discount
Traditional
How will you be accepting payments?
*
MOTO (Manually Keyed Cards)
Swiped / Cards Present
E-Commerce / Internet Orders
Type of terminal(s) you will need
*
Virtual Gateway (Manually input cards, send invoices, store customer information, pull reports, etc.)
Countertop Terminal (Card present payments (swipe, chip, tap to pay))
POS (Point of Sales) Register
Website Shopping Cart
Wireless Handheld Terminals (Card present payments (swipe, chip, tap to pay))
Bluetooth Terminal (Card present payments (swipe, chip, tap to pay))
Agent Name or How did you hear about us?
*
Upon submission form, please send the following documents to rocky@edgemerchantgroup.com to start the onboarding process
3 most recent banking statements
3 most recent processing statements (if you have previous processing)
Copy of Driver License or Passport
Copy of Voided Check for Business Bank Account
Please note, additional information may be requested.....
Email
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