merchant application form - Online Payments, eCommerce, Digital Advertising ,Shopping Carts, Point of Sale, POS, CRM , Gaming, CBD, WooCommerce

Merchant Application

Owner Title
Owner Equity Percentage
First Name*
Last Name*
Home Address
Suite/Apartment
City
State
Zip Code
Cell Telephone Number*
Date of Birth
Date Format: MM slash DD slash YYYY
SSN/Passport #
Business Name / DBA / Descriptor
Corporate / Legal Business Name
Business Type
Fed Tax ID
Merchandise/Services Sold
High Ticket Amount
Average Ticket Amount
Average Monthly Volume
Business Telephone Number
Business Fax Number
Business Website Address
Business Email Address*
Business Address
Suite/Apartment
City
State
Zip Code
Select Your Rates, Fees & Structure you are looking for (Call us at 888-395-9554 if you need assistance with rates)
Where should we send your money?
Routing Number
Account Number

About Us

eDatapay Group has a cloud-based, multi-channel ecommerce platform with global technology and developer-orientated comprehensive cross-border smart payment options. eDataPay seamlessly integrates small and large companies to effectively accept web and mobile payments. eDataPay’s innovative platform contains fraud and risk prevention, analytics, digital media, advertising, social media management, SMS, CRM, and payment gateways.

Get In Touch

Phone:

+1-888-395-9554

Fax:

+1-888-909-0138

Emai:

info@eDataPay.com

Address:

20423 State Road 7, Suite F6-524 Boca Raton, Florida, 33498 USA.