Merchant Pre-Check Form

  • The provided information will enable us to best assist you in finding the best merchant account placement for your individual needs. Once your Pre-Check is approved, we will ask you to proceed and complete our application form.
  • Please enter a value between 0 and 99.
  • Test Account Credentials (if applicable)

  • NOTE: Along with this completed 'PreCheck' we require your most recent 6 months 'Processing History'. Please send copies of official statements or screen shots taken from the processor/gateway's backend platform. Screenshots must show a link to this pre-check's company name, URL's and/or UBO. Processing data must show 'monthly' totals for total volume, refund & chargeback volume along with corresponding transaction counts. Editable documents such as excel sheets or word docs are not acceptable formats.
  • This field is for validation purposes and should be left unchanged.