VMS MPA - Velocity Merchant Services

Velocity Merchant Services Pre-Application

After filling out the pre-application; a Small Business Specialist will contact you after receiving your pre-application.

"*" indicates required fields

1Business Information

2Processing Information

3Ownership

4Bank Information

5Upload Documentation

Instagram

This field is for validation purposes and should be left unchanged.

Legal Business Name*

We can put anything we want here

Business Name*

Type of Ownership*

Sole Proprietorship

Corporation

LLC

Non Profit

Partnership

Tax ID #*

Business Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Business Phone*

Description of Products/Services*

Percentage of Transactions Keyed In*

Average Transaction Size*

Highest Transaction Size*

Estimated Monthly Volume*

Owner Name*

First Last

Email*

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date of Birth

Social Security Number

Cell Phone*

Bank Name

Routing Number

Account Number

File

Drop files here or

Max. file size: 2 GB.

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