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Application Form
Download and fill the following form and send to info@tbnservices.ca or fill out the form below to get started.
Payment Methods
Please select the payment method(s) you are applying for.
Corporate Information
Contact Information
Settlement Information
Required Documents
Payment Methods and Services
Services
Payment Methods
Corporate Information
Corporate/Legal Name
Business Name (DBA or Trade Name)
Business Type
Other Business Type Description
Business Address
Address (No P.O. Boxes)
City
City State/Province
ZIP/Postal
Country
Telephone
Cellphone
Please check this box if you mailing address differs from your billing address.
Incorporation Information
Incorporation Date
Incorporation State
Incorporation Country
Federal Tax/VAT ID
Company Registration Number
Please check this box if you require a license for your services
How Did You Hear About Us?
How Did You Hear About Us?
Business Profile
Primary Product/Service?
Describe your Primary Product/Service
Total Monthly Amount
Total Monthly Count
Minimum Transaction Amount
Maximum Transaction Amount
Average Transaction Amount
Transaction Distribution Percentage
USA
Canada
Europe
Asian Pacific
Latin America
Other
Marketing/Sales
Please Describe How you Offer your Services/Products
% of Internet Marketing
% of Telephone Marketing
% of Internet Sales
% of Telephone Sales
Website(s) Information
Website(s) Address(es)
Owner(s) Information
Title
Owner First Name
Owner Last Name
Ownership %
Address (No P.O. Boxes)
City
State/Province
Zip/Postal
Country
Date of Birth
Phone
Passport Number
Passport Issued Country
SSN / EIN
Primary Contact Person
Email Address
Confirm Email Address
First Name
Last Name
Phone Number
Skype ID
Tech Support Contact
First Name
Last Name
Phone Number
Skype ID
Customer Service Contact
First Name
Last Name
Phone Number
Skype ID
Accounting Contact Details
First Name
Last Name
Phone Number
Skype ID
Bank Account Holder Information
Name
Address
City
State/Province
Zip/Postal
Country
Account Number
ABA/Routing Number
Sortcode
IBAN Number
Swift / BIC (If Applicable)
IRC (If Applicable)
Bank Information
Bank Name
Address
City
State/Province
Zip/Postal
Country
Bank Phone Number
Required Documents
Certificate of Incorporation
Max. size: 64.0 MB
Valid Government Issued Identification
Max. size: 64.0 MB
Most recent office lease (Or utility bill within last 3 months)
Max. size: 64.0 MB
Terms & Conditions for Products and Services
Max. size: 64.0 MB
Refund & Cancellation Policy
Max. size: 64.0 MB
Certificate of Good Standing/Licensing
Max. size: 64.0 MB
Tax ID
Max. size: 64.0 MB
6 Months Processing Statements (Most Recent)
Max. size: 64.0 MB
6 Months Banking Statements (Most Recent)
Max. size: 64.0 MB
IF MERCHANT SELLS TANGIBLES: copy of fulfillment and supplier agreement required
Max. size: 64.0 MB
Note: We may require additional documentation for applications. Such as corporate financial tax return, etc.
By checking this box, I acknowledge that I have read the disclaimer in all its entirety and am ready to submit my application to the TBN team for underwriting. I warrant that all information and documents provided in this application are accurate and that I have not misrepresented or falsified any information.
By checking this box, I acknowledge that my application is not complete however TBN will provide me with portal access to complete it at a later time once I have gathered all the necessary information and documentation.
Have any questions? Contact Us
We Provide:
Global Card Processing
Merchant Accounts
E-commerce Merchant Account
High Risk Merchant Account
Bank accounts
Incorporating / Managing Companies
Payment Gateway
MOTO / Virtual Terminal
Licensing
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SEO