Payflow® ACH Payment Service Enrollment

Section 1: General Business (Company) Information

Complete all General Business (Company) Information:

  1. Business Information

Field

Description

Required?

Business Legal Name

The legal name of your business, up to 32 characters in length.

Yes

Doing Business As

The Doing Business As (DBA) name of you business, up to 25 characters in length.

Yes

Federal Taxpayer ID

The Federal Taxpayer ID assigned to your business.

Yes

 

  1. General Business Information

Field

Description

Required?

Public Business Phone

The area code and phone number for your business.

Yes

Public Business Fax

The fax number for your business.

Yes

Public Email Alias

The email address of the contact person.

Yes

Web Public URL

The home page Web address for your business.

Yes

 

  1. Primary and Secondary Contact

Field

Description

Required?

Name

The full name of the person we can contact at your business if we have questions. These contacts are responsible for the ACH account at their company.

Yes

Title

The title or position of the primary contact.

Yes

Phone

The phone number of the contact person.

Yes

Email

The email address of the contact person.

Yes

 

  1. Business History

Field

Description

Required?

Publicly Traded?  

Whether your business is publicly traded.

Yes

If Yes, Ticker symbol

If the answer to the previous question is Yes, enter your business's stock symbol.

If Yes on first question

Business Location

Specify where your business is located: Home, Office, or Other. If "Other," please specify.

Yes

How long at this location?

The number of years your business has been located at the business address entered.

Yes

Structure of Business

Select your business type: Sole Proprietorship, LLC, Partnership, or Corporation.

Yes

Description of Product/Service Sold

Briefly describe your business and the products or services your business provides.

Yes

 

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