Thanks for your interest in Freedom Merchants.
We have received your information and will be in touch with you shortly.
In the mean time, please fill out the application form below.

 

Sign-up for Effortless Credit-card and Echeck Processing

Please fill out the form below (takes about 5 minutes) to get started with effortless QuickBooks-integrated credit-card and Echeck/ACH processing.
If there's anything you're not sure of, just make your best guess and we can confirm with you afterwards. You'll also get a chance to update any information before you E-sign the Link that we send you.

General Information Icon General Information

Location Country
Name of Account ("DBA" Doing Business As - appears on Receipts)
Location Address
Location City
Currency you wish to Receive Funds in
Location State/Province
Please select a country
Location Zip/Postal Code
Location Type
Click Here only if Billing Address different from Location Address
Location Phone Number
Corporate Office Phone #
Website Address
Corporate Email Address
Legal Tax Filing Business Name
Corporate Tax ID-# ("FEIN #" or EIN-# or Business-Number BN#)
Primary Contact – First Name
Primary Contact – Last Name
Primary Contact – Title

 

Business Details Business Details

% of Business Swiped (versus Keyed versus Internet)
Describe Goods/Services sold
"SIC" Code (4-digit Standard Industrial Classification – Don't worry if you don't know yours, you easily look up an appropriate one here.) If you're still not sure after quickly searching, you may leave it blank.
When are products/services delivered?
Average CC Transaction Size (Approx)
Maximum CC Transaction Size (For Now)
Estimated Monthly CC $ Volume
Refund Policy
If Policy Other, Which (Max 75 Characters):
Type of Ownership
Date Started Business (MM/DD/YYYY)
# of Locations

 

Principal Information Icon Principal Information

Principal Owner - First Name
Principal Owner - Last Name
% of Company Ownership
Principal Title (Owner, President, Co-Owner, LLC Partner, Exec Director, Other)
Principal Birthdate (mm/dd/yyyy)
Principal SSN (US) /Social Insurance # (Can)
Used to verify US/Canadian Citizenship only. No Hard-pull on Credit-score (except for Sole-Proprietors)
Principal Driver's License #
Principal Driver's License State/Province
Home-based Business?
Home Street Address of Principal
Home City of Principal
Home State/Province of Principal
Home Zip/Postal of Principal
Principal Own/Rent Home
# of Years at Home-Address
Any Prior Personal Bankruptcy (No/Yes)

 

Since you own less than 75% of the company, please provide information about the second owner.

I don't have their information right now but can send it to you separately.

Second Owner Information Icon Second Owner Information

Second Owner - First Name
Second Owner - Last Name
Second Owner - % of Company Owned
Second Owner - Title (Owner, President, Co-Owner, LLC Partner, Exec Director, Other)
Second Owner - Birthdate (mm/dd/yyyy)
Second Owner - SSN (US) /Social Insurance # (Can)
Second Owner - Driver's License #
Second Owner - Driver's License State/Province
Second Owner - Home Street Address
Second Owner - Home City
Second Owner - Home State/Province
Second Owner - Home Zip/Postal
Second Owner - Own/Rent Home
Second Owner - # of Years at Home-Address
Second Owner - Any Prior Personal Bankruptcy (No/Yes)

 

Checking Account Information Icon Checking Account Information

Bank Name
FID # (3 digits)
Routing/Transit Number
Account Number
Re-enter Checking Account Number
Checking account # doesn't match

 

Credit Card Information Icon Credit-Card Information

(for USD$17/month and $0.05/transaction Gateway Fee, only charged if application approved)
Credit Card #
Expiration Date
CVV

 

Additional Information Icon Additional Information

Currently Processing Credit-Cards?
Do you want to accept E-Checks/ACH too?
Estimated Average E-check Transaction Size:
Estimated Maximum E-check Transaction Size:
Estimated Monthly E-check $ Volume:
Do you want to accept American Express?
Existing Amex Merchant # (if applicable)
Accounting Software?
How did you hear about Freedom Merchants?
if Other, please specify:
Who is your Bookkeeper?
How much is:
Answer:
Checking account # doesn't match

Thanks!

We have received your application and we will be in touch shortly.
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