Online Merchant Application

Merchant Application

Get underwritten quickly and easily

Online application in 3 Easy Steps:

Step 1: Your Contact and Business Information

Your name, email, business contact information.

Step 2: Banking Information

Business Tax ID, bank account and routing information.

Step 3: Business Owner Information

Owner’s name, birthday and social security number.

Merchant Application Terms

Online Merchant Application

- I have read and agree to the BlueSnap Merchant Application Terms, Electronic Signature Terms, BlueSnap Merchant Agreement, BlueSnap Merchant Terms & Conditions.
Step 1. Business Information
Business Name (DBA)*
Business Legal Name*
Business and Product/Service Description*
Business Phone*
Business Website*
Address*
Business Street Address Business City Business State/Province Business ZIP/Postal Business Country
Business Type*
Business Category*
Current Annual Sales Volume*

Step 3. Owner Information
Enter the company representative information
(Person who oversees the business and has significant control over the entity. i.e. CEO/COO/CFO)
Company Representative Name*
First Last
Company Representative Email*
Company Representative Phone*
Company Representative Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Company Representative Birthdate (DD/MM/YYYY)*

Day
Month
Year
Company Representative Birthdate (MM/DD/YYYY)*
Month
Day
Year
This field may be left blank and we will contact you to complete your application.
Company Representative Last 4 of SSN
How many owners does your business have?
(Owners are individuals who own 25% or more of your business.)
How many owners does your business have?*
- 0
- 1
- 2
- 3
- 4
Owner 1
Owner 1 Name*
First Last
Owner 1 Email*
Owner 1 Phone*
Owner 1 Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Owner 1 Birthdate (DD/MM/YYYY)*

Day
Month
Year
Owner 1 Birthdate (MM/DD/YYYY)*
Month
Day
Year
This field may be left blank and we will contact you to complete your application.
Owner 1 Last 4 of SSN
Owner 2
Owner 2 Name*
First Last
Owner 2 Email*
Owner 2 Phone*
Owner 2 Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Owner 2 Birthdate (DD/MM/YYYY)*

Day
Month
Year
Owner 2 Birthdate (MM/DD/YYYY)*
Month
Day
Year
This field may be left blank and we will contact you to complete your application.
Owner 2 Last 4 of SSN
Owner 3
Owner 3 Name*
First Last
Owner 3 Email*
Owner 3 Phone*
Owner 3 Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Owner 3 Birthdate (MM/DD/YYYY)*
Month
Day
Year
Owner 3 Birthdate (DD/MM/YYYY)*

Day
Month
Year
This field may be left blank and we will contact you to complete your application.
Owner 3 Last 4 of SSN
Owner 4
Owner 4 Name*
First Last
Owner 4 Email*
Owner 4 Phone*
Owner 4 Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Owner 4 Birthdate (MM/DD/YYYY)*
Month
Day
Year
Owner 4 Birthdate (DD/MM/YYYY)*

Day
Month
Year
This field may be left blank and we will contact you to complete your application.
Owner 4 Last 4 of SSN
*
- I have read and agree to the BlueSnap Merchant Application Terms, Electronic Signature Terms, BlueSnap Merchant Agreement, BlueSnap Merchant Terms & Conditions.
Comments
This field is for validation purposes and should be left unchanged.

Merchant Application

Get underwritten quickly and easily

Online application in 3 Easy Steps:

Online Merchant Application

Step 1. Business Information

Step 2. Banking Information

Step 3. Owner Information

Enter the company representative information

How many owners does your business have?

Owner 1

Owner 2

Owner 3

Owner 4