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Payment Methods

Please select the payment method(s) you are applying for.

Corporate Information

Contact Information

Settlement Information

Required Documents

  • Payment Methods
  • 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

Email

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

Email

Skype ID

Customer Service Contact

First Name

Last Name

Phone Number

Email

Skype ID

Accounting Contact Details

First Name

Last Name

Phone Number

Email

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

Valid Government Issued Identification

Most recent office lease (Or utility bill within last 3 months)

Terms & Conditions for Products and Services

Refund & Cancellation Policy

Certificate of Good Standing/Licensing

Tax ID

6 Months Processing Statements (Most Recent)

6 Months Banking Statements (Most Recent)

IF MERCHANT SELLS TANGIBLES: copy of fulfillment and supplier agreement required

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
Finding solutions Broker
SEO

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