Merchant services
Merchant Application
Charlie Ferrante
charlie@mymerchantssave.com
Your application and documents are transmitted securely. Required fields are marked.
November 3, 2026
1. Business information
Business Legal Name
Business Name (DBA)
Entity Type
Select one
Sole Proprietorship
Corporation
LLC
Partnership
Other
Federal Tax ID #
Business Open Date
Annual Volume
Average Ticket
Highest Ticket
2. Business contact
Business Address
City
State / ZIP
Work Phone
Cell Phone
Email Address
3. Owner information
Sensitive owner information is stored privately and is not displayed after submission.
Owner Name
Ownership %
Date of Birth
Social Security #
Title
Home Address
City / State / ZIP
4. Mailing address
(if different)
Mailing Address
City
State / ZIP
5. Additional information
Products / Services Sold
Current Processor
Years in Business
Website (Optional)
Referral / Agent
6. Upload required documents
Select each button and upload a clear, complete photo or PDF.
Upload Driver's License
PDF, PNG, JPG, or HEIC - maximum 10 MB
Upload Voided Check
PDF, PNG, JPG, or HEIC - maximum 10 MB
Upload Business Certificate
PDF, PNG, JPG, or HEIC - maximum 10 MB
7. Electronic signature
Full Legal Name
Date
By typing my full legal name above, I confirm that it serves as my electronic signature, certify that the information provided is complete and accurate, authorize the review and processing of this application, and agree to proceed with establishing a merchant processing account, subject to approval and applicable terms and conditions.
Ready to submit?
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Submit application