MS App: Apply Pg

Do you have a U.S business tax id number?
- Yes
- No
Unfortunately, we are not able to set you up with a Betterpay Account as a U.S business tax id is required.

Do you have an active U.S business checking account?
- Yes
- No
Unfortunately, we are not able to set you up with a Betterpay Account as a U.S business checking account is required.

Application
1. Business Information
Owner First Name*
Owner Last Name*
Owner Email Address*
Business Phone:*
Doing Business As Name (DBA):*

The name your customers will see on their credit card statements.
Company Ownership:*
Business Address:*
Business City*
Business State:*
Business Zip*
Business Website
2. Personal Information
Owner Address:*
Owner City:*
Owner State:*
Owner Zip*
Owner Phone:*
Owner Title:*
Owner Date of Birth:*
3. Processing Information
Description of Business:*
- Storefront
- Office
- Mobile
- E-Commerce
Date Business Started*
What product(s) or service(s) will you be selling?*
How much will your average credit card transaction be?*
Example: $20, $100, $500
How much will your highest credit card sale be?*
What is your Return Policy, Cancellation or Refund Policy?
Do you currently accept debit/credit card?*
- Yes
- No
Bank Statement
Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 16 MB.
How does the customer purchase or order products?
What is the delivery time to the customer?
How much do you expect to process in total credit card volume each month?*
Example: $2,000, $5,000, $20,000
Bank Name:*
Bank Routing Number*

Routing is always 9 digits
Bank Account Number:*

Account numbers vary in length
Voided Check:
Drop files here or

Max. file size: 16 MB.
Attached front & back photos of your check.
Driver License Number:*
Social Security Number*

We use this to verify your identity.
Do you have a Federal Tax ID number?*
- Yes
- No
Tax ID #:*

Review
Betterpay LLC. is a registered ISO of Wells Fargo Bank, N.A., Concord CA. By the Merchant Application, you agree we may contact you with offers through the provided phone number and email you entered. Rates and terminals displayed are based on qualified merchants. By accepting a Betterpay terminal placement, you agree to process all credit card transactions with Betterpay LLC. Merchant agrees that the terminal is the property of Betterpay and is being licensed to the Merchant. Terminals must be returned within ten business days of the termination or expiration of the merchant account to Betterpay LLC.
*
- I have read and agree to the Terms and Conditions

Betterpay Group LLC is a registered ISO of Citizens Bank, N.A., Providence, RI, and of Esquire Bank, N.A., Jericho NY.

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