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Full Name*

First Name Last Name

Company Name*

Position*

Please let us know your position in the company.

Company Address*

Street Address Address Line 2 City State ZIP / Postal Code

If you operate an at-home business, please provide the legal address on file with your entity. This can be a residential address.

Products or Services Sold*

What products or services do you typically offer?

How do you intend to process payments?*

In-person Transactions

Internet / Online Transactions

Mail or Phone Transactions

Please let us know how you typically process payment or how you intend to do so.

What type of payment processing does your business need?*

Acquiring (allowing customers to pay with debit or credit cards)

ACH (allowing customers to pay via bank transfer)

Let us know which methods of payment are relevant and necessary for your business to operate.

Email Address*

Phone Number*

Merchant Statement*

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 8 MB, Max. files: 3.

⚠️ Upload a recent merchant statement. If you use Square, Shopify, or Stripe, then a screenshot of last month's sales and fees will do just fine.

I have read and reviewed, and agree to, Impeccabyte's Privacy Policy.*

I agree

Apply for Merchant Services