Call us now at 1-855-933-3729, or fill out the pre-qualification form below and one of our agents will contact you as soon as possible. Merchant Pre-Qualification Requested Days in Arrears * Required5 Days6 Days7 Days8 Days9 Days10 DaysRequested Reserve * Required0%5%10%Ownership InformationIf there are more than 3 owners, add them in the Additional Notes section near the bottom of this form.Number of Owners * Required123More than 3Owner 1 Name * RequiredOwner 1 Email * Required Owner 1 Phone * RequiredOwner 2 Name * RequiredOwner 2 Email * Required Owner 2 Phone * RequiredOwner 3 Name * RequiredOwner 3 Email * Required Owner 3 Phone * RequiredBusiness InformationPrice Points * RequiredRequested Monthly Limit * RequiredHigh Ticket * RequiredAverage Ticket * RequiredDo your business or personal bank accounts have an average balance of AT LEAST $5,000 (or equivalent) during the past three (3) months? * RequiredYesNoDo you have any previous processing? * RequiredYesNoDo you currently offer wholesale? * RequiredYesNoHigh Ticket * RequiredAverage Ticket * RequiredDo you require MOTO (Mail Order Telephone Order) processing? * RequiredYesNoWhat percent of total volume? * RequiredDo you offer or plan to have an Affiliate program? * RequiredYesNoDo you need POS/Card Readers? * RequiredYesNoHas the company or owner(s) ever been placed on the TMF/Match File? * RequiredYesNoWhy was the company or owner(s) placed on the TMF/Match file? * RequiredWebsite InformationWebsite URLIs the Website Live?YesNoExpected Live DateWebsite PlatformPlease Select...WordPressShopifyWixMagentoOtherOther Platform * RequiredIs the website password protected? (this is for viewing your public pages, not for accessing the site's back end)YesNoPassword * RequiredRequired FilesPlease upload your three (3) most recent Bank Statements and three (3) most recent Processing Statements (if available). Maximum total size: 40 MB Allowed file types: pdf, jpg, jpeg, gif, png Drop files here or Accepted file types: pdf, jpg, jpeg, gif, png. Maximum file size - 40 mega bytes. Additional NotesCommentsThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.