|
Field |
Description |
Required? |
|
Has your business ever accepted Credit Cards? (online or at all) |
Respond Yes or No. |
Yes |
|
Do you have a merchant account and/or an Internet merchant account? |
Select the types of merchant accounts you currently have. |
Yes |
|
If so, who is your acquiring bank? |
If the answer to the previous question is Yes, enter the name of your acquiring bank. |
If Yes on previous question |
|
Field |
Description |
Required? |
|
Has your business merchant account ever been canceled? |
Respond Yes or No. |
Yes |
|
If Yes, name of previous merchant account provider |
If the answer to the previous question is Yes, enter the name of your previous merchant account provider. |
If Yes on first question |
|
Date previous merchant account canceled |
If the answer to the previous question is Yes, enter the month and year the account was canceled. |
If Yes on first question |
|
Reason previous merchant account canceled |
If the answer to the previous question is Yes, describe the reason the account was canceled. |
If Yes on first question |
|
Field |
Description |
Required? |
|
Monthly ACH Transaction Volume |
Enter the estimated monthly total number of Credit and Debit ACH transactions. |
Yes |
|
Average # of Transactions / Day |
Enter the estimated daily average number of Credit and Debit ACH transactions. |
Yes |
|
Monthly ACH Dollar ($) Volume |
Enter the estimated monthly dollar total for your Credit and Debit ACH transactions. |
Yes |
|
Average Transaction Dollar ($) Size |
Enter the estimated average dollar amount per Credit and Debit ACH transaction. |
Yes |
Click Continue to proceed to the next section.