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Tell us about your business so we can serve you better.

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We'll need your SSN to verify your business.

What type of business is it?
How will you process transactions?
Product or Service Sold (explain in full):
Business Address
Address Street name
City State
ZIP Code
Shipping Address
Same as Business location address

Address Street name City State ZIP Code

Owner's Legal Name:
First Last
Home Address
Same as Business Address

Address Street name

City State

ZIP Code

Drivers license

If business address and personal address same then Drivers license is required

Drivers license State

Date Of Birth:

MM

DD

YYYY
Owner's Social Security Number (for I.D. verification purposes only):*

After Review and approval a Merchant Identification Number (MID) will be issued and the account will be in the entity's name.
Legal Name of Business (as it appears on your tax return):*

If you have not registered your business yet use your legal name (you can always change it lat
IRS Name*

If you have not registered your business yet use your legal name (you can always change it lat
Type of Business Ownership
Federal Tax ID:*

If you have not registered your business yet use your legal name (you can always change it lat
Employer Identification Number (EIN number)*

Your tax ID will be used for tax reporting purposes only. You can edit this information later. If you do not have a EIN please use SSN
How long was the business established?
How many months ago was business established?

Bank Name for deposits:

We need the account and routing so we can program your device/software so you are ready to accept all types of payments when your account is approved
Routing/Transit Number:*

0 of 9 max characters
Account Number:

0 of 15 max characters
I have verified my bank account number and routing number to be correct*
- Yes I have verified my bank account and routing number
Application and Terms of Use

DEFINITIONS: "Merchant Application" means this Merchant Application between Wells Fargo Bank, Proceed Pay Inc. and Merchant. "Merchant Agreement" means this Merchant Application once approved and accepted by Wells Fargo Bank together with the Terms and Conditions of the Merchant Agreement found at www.pivotalpayments.com/WM2M092015. Member Bank Information: Wells Fargo Bank, 1200 Montego, Walnut Creek, CA 94598 • Phone (844) 284-6834 Important Member Bank Responsibilities: 1. The Bank is the only entity approved to extend acceptance of Card Association products directly to a Merchant. 2. The Bank must be a principal (signer) to the Merchant Agreement. 3. The Bank is responsible for and must provide settlement funds to the Merchant. 4. The Bank is responsible for educating Merchants on pertinent Visa and MasterCard Rules with which Merchants must comply; but this information may be provided to you by Processor. 5. The Bank is responsible for all funds held in reserve. Important Merchant Responsibilities: 1. Ensure compliance with cardholder data security and storage requirements. 2. Maintain fraud and chargebacks below Card Organization thresholds. Merchant Resources: 3. Review and understand the terms of the Merchant Agreement. 4. Comply with Card Organization rules. 5. Retain a signed copy of this Disclosure Page. Download “Visa Regulations” at: http://usa.visa.com/merchants/operations/op_regulations.html Download “MasterCard Rules” at: http://www.mastercard.com/us/merchant/support/rules.html The responsibilities listed above do not supersede terms of the online Merchant Agreement and are provided to ensure the Merchant understands some important obligations of each party and that the Visa Member - Wells Fargo Bank - is the ultimate authority should the Merchant have any problems. By executing this Merchant Application and Agreement on behalf of the merchant described above (“Merchant”), the undersigned individual(s) represent(s), warrant(s), and acknowledges(s) that: (i) All information contained in this Merchant Application (“Application”) is true, correct and complete as of the date of this Application; (ii) If the Merchant is a corporation, limited liability company, or partnership, the individual(s) executing this Application have the requisite legal power and authority to complete and submit this Application on behalf of the Merchant and to make and provide the acknowledgements, authorizations and agreements set forth herein on behalf of the Merchant and individually; (iii) The information contained in this Application is provided for the purpose of obtaining, or maintaining, a merchant account for the Merchant with the Member Bank and Proceed Pay (“BANK”) and BANK will rely on the information provided herein in its approval process and in settling the applicable Discount Rate, Approved Average Ticket, and Approved Monthly Payment Card Volume; (iv) BANK is authorized to investigate, either through its own agents or through credit bureaus/agencies, the credit of the Merchant and each person listed on this Application; (v) BANK will determine all rates, fees and charges and notify Merchant of the approved fees and by Merchant's submission and acceptance of Merchant's first settled transaction; Merchant agrees to pay such approved fees, including those fees listed at section of 5.07 the attached Merchant Agreement; (vi) The Merchant Agreement will not take effect until Merchant has been approved by BANK and a merchant number has been issued to Merchant; and (vii) The undersigned has read and understood the Merchant Agreement, which is incorporated herein by reference and agrees on behalf of the Merchant to be bound by the terms of such Merchant Agreement. The merchant on whose behalf this Application is being submitted acknowledges that if this Application is being submitted to Wells Fargo Bank as the Member Bank, Proceed Pay is also a party to this Merchant Agreement. In such case, Merchant acknowledges that Proceed Pay will rely on the representations and warranties set forth in this Application for Merchant Agreement and unless otherwise specified or prohibited by Association or applicable law, Proceed Pay will have all the rights of Wells Fargo Bank under this Merchant Application and Agreement. You have the option of accepting MasterCard credit cards, Visa credit cards, American Express credit cards, Discover credit cards, MasterCard signature debit cards (MasterMoney Cards) or Visa signature debit cards (Check Cards), or debit cards issued by Discover. You may elect to accept any or all of these card types for payment. If you do not specifically indicate otherwise, your application will be processed to accept ALL MasterCard, Discover, American Express and Visa card types. Elected Visa, Discover, or MC card types NOT to accept: Merchant acknowledges having read and agreed to the terms and conditions of the online Merchant Agreement found at www.pivotalpayments.com/WM2M092015. If Merchant was unable to access such online agreement, Merchant acknowledges having been provided a copy by Proceed Pay, and having read and agreed to same. IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: when you open an account, we may ask you for information that will allow us to identify you, including a copy of your driver's license or other identifying documents. BANK DISCLOSURE DEFINITIONS: "Merchant Application" means this Merchant Application between Wells Fargo Bank, Proceed Pay Inc. and Merchant. "Merchant Agreement" means this Merchant Application once approved and accepted by Wells Fargo Bank together with the Terms and Conditions of the Merchant Agreement found at www.pivotalpayments.com/WMBA092015. Member Bank Information: Wells Fargo Bank, 1200 Montego, Walnut Creek, CA 94598 Phone (844) 284-6834 Important Member Bank Responsibilities: 1. The Bank is the only entity approved to extend acceptance of Card Association products directly to a Merchant. 4. The Bank is responsible for educating Merchants on pertinent Visa and MasterCard Rules with which Merchants must comply; but this information may be provided to you by Processor. 2. The Bank must be a principal (signer) to the Merchant Agreement. 5. The Bank is responsible for all funds held in reserve. 3. The Bank is responsible for and must provide settlement funds to the Merchant. Important Merchant Responsibilities: 1. Ensure compliance with cardholder data security and storage requirements. 4. Comply with Card Organization rules. 2. Maintain fraud and chargebacks below Card Organization thresholds. 5. Retain a signed copy of this Disclosure Page. 3. Review and understand the terms of the Merchant Agreement. Merchant Resources: Download "Visa Regulations" at: http://usa.visa.com/merchants/operations/op_regulations.html Download "MasterCard Rules" at: http://www.mastercard.com/us/merchant/support/rules.html The responsibilities listed above do not supersede terms of the online Merchant Agreement and are provided to ensure the Merchant understands some important obligations of each party and that the Visa Member - Wells Fargo Bank - is the ultimate authority should the Merchant have any problems. CONTINUING PERSONAL GUARANTY PROVISION - PERSONAL GUARANTOR By signing below, each individual or entity ("Guarantor") jointly and severally (if there is more than one Guarantor) and unconditionally guarantees to Proceed Pay and BANK the prompt payment and full and complete performance of all obligations of the Merchant identified above under the Merchant Agreement, as amended from time to time, including, without limitation, all promises and covenants of the Merchant, and all amounts payable by the Merchant under the Merchant Agreement, including, without limitation, charges, interest, costs and other expenses, such as attorneys fees and court costs. This means, among other things, that Proceed Pay or BANK can demand performance or payment from any Guarantor if the Merchant fails to perform any obligation or pay what the Merchant owes under the Agreement. Each Guarantor agrees that his or her liability under this guaranty will not be limited or canceled because: (1) the Merchant Agreement cannot be enforced against the Merchant for any reason, including, without limitation, bankruptcy proceedings; (2) either Proceed Pay or BANK agrees to changes or modifications to the Merchant Agreement, with or without notice to Guarantor; (3) Proceed Pay or BANK releases any other Guarantor or the Merchant from any obligation under the Merchant Agreement; (4) any law, regulation, or order of any public authority affects the rights of either Proceed Pay, Merchant, or BANK under the Merchant Agreement; and/or (5) anything else happens that may affect the rights of either Proceed Pay or BANK against the Merchant or any other Guarantor. Each Guarantor further agrees that: (a) Proceed Pay and BANK each may delay enforcing any of its rights under this guaranty without losing such rights and hereby waives any applicable Statute of Limitations; (b) Proceed Pay and BANK each can demand payment from such Guarantor without first seeking payment from the Merchant or any other Guarantor or from any security held by the BANK; and (c) such Guarantor will pay all court costs, attorneys fees, and collection costs incurred by either Proceed Pay or the BANK in connection with the enforcement of the Merchant Agreement or this Guaranty, whether or not there is a lawsuit, and such additional fees and costs as may be directed by a court. If the Merchant is a corporation or limited liability company, this Guaranty must be executed by a principal or affiliate of Merchant. Guarantor agrees and acknowledges having read the Merchant Agreement found at www.pivotalpayments.com/WMBA092015. MERCHANT APPLICATION AND AGREEMENT ACCEPTANCE By executing this Merchant Application and Agreement on behalf of the merchant described above ("Merchant"), the undersigned individual(s) represent(s), warrant(s), and acknowledges(s) that: (i) All information contained in this Merchant Application ("Application") is true, correct and complete as of the date of this Application; (ii) If the Merchant is a corporation, limited liability company, or partnership, the individual(s) executing this Application have therequisite legal power and authority to complete and submit this Application on behalf of the Merchant and to make and provide the acknowledgements, authorizations and agreements set forth herein on behalf of the Merchant and individually; (iii) The information contained in this Application is provided for the purpose of obtaining, or maintaining, a merchant account for the Merchant with the Member Bank and Proceed Pay ("BANK") and BANK will rely on the information provided herein in its approval process and in settling the applicable Discount Rate, Approved Average Ticket, and Approved Monthly Payment Card Volume; (iv) BANK is authorized to investigate, either through its own agents or through credit bureaus/agencies, the credit of the Merchant and each person listed on this Application; (v) BANK will determine all rates, fees and charges and notify Merchant of the approved fees and by Merchants submission and acceptance of Merchants first settled transaction; Merchant agrees to pay such approved fees, including those fees listed at section of 5.07 the attached Merchant Agreement; (vi) The Merchant Agreement will not take effect until Merchant has been approved by BANK and a merchant number has been issued to Merchant; and (vii) The undersigned has read and understood the Merchant Agreement, which is incorporated herein by reference and agrees on behalf of the Merchant to be bound by the terms of such Merchant Agreement. The merchant on whose behalf this Application is being submitted acknowledges that if this Application is being submitted to Wells Fargo Bank as the Member Bank, Proceed Pay is also a party to this Merchant Agreement. In such case, Merchant acknowledges that Proceed Pay will rely on the representations and warranties set forth in this Application for Merchant Agreement and unless otherwise specified or prohibited by Association or applicable law, Proceed Pay will have all the rights of Wells Fargo Bank under this Merchant Application and Agreement. You have the option of accepting MasterCard credit cards, Visa credit cards, American Express credit cards, Discover credit cards, MasterCard signature debit cards (MasterMoney Cards) or Visa signature debit cards (Check Cards), or debit cards issued by Discover. You may elect to accept any or all of these card types for payment. If you do not specifically indicate otherwise, your application will be processed to accept ALL MasterCard, Discover, American Express and Visa card types. Elected Visa, Discover, or MC card types NOT to accept: ___________________. Merchant acknowledges having read and agreed to the terms and conditions of the online Merchant Agreement found at www.pivotalpayments.com/WM2M092015. If Merchant was unable to access such online agreement, Merchant acknowledges having been provided a copy by Proceed Pay, and having read and agreed to same. IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: when you open an account, we may ask you for information that will allow us to identify you, including a copy of your drivers license or other identifying documents.
- I agree to the Terms of Service
By signing below I agree to not accept Card Payments for any fraudulent dealings or accept payments that would be against the law in the state I am conducting business in
- Clear
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