Pre-App

Legal Business Name

Mailing Address

Tax ID Number

Date Business Started

DBA Organization Name

DBA City

DBA State

DBA Zip Code

DBA Phone Number

Is this a seasonal business?

What is your return, cancellation, or refund policy?

Owner's Full Name

Owner's Date of Birth

City

State

Zip Code

Phone Number

Owner's Email Address

Bank Name

Bank Routing Number

Bank Account Number

Product/Service Sold

How are products sold

In store Online Phone E-commerce

Website Address

Do you currently accept credit cards?

If yes, what processor are you with?

Current or estimated monthly income? (All outlets)

Average transaction amount?

Estimated High Ticket

Access Denied