Merchant Pre-Application

    Owner/Officer/Principal Name *

    Home Phone number

    Mobile Phone number

    Owner/Officer/Principal Home Address

    Percentage of Ownership *


    Owner/Officer/Principal Date of Birth *


    Driver's License Number *


    Date Issued *


    Date Expired *


    Business Information

    Applying as *

    Sole ProprietorS CorporationClosely HeldPublic CorporationLLC (Limited Liability Corporation)

    Business Legal Name (If Applicable)

    Business DBA (Doing Business As) *

    Business Phone *

    Business Fax

    E-mail of Applicant *

    Business Location *


    Description of Products/Services offered *

    Project Marketing Material

    Business Information

    Average Daily Sale Amount *

    Average Monthly Sale *

    Card Present %

    Card Not Present %

    Internet/MOTO %

    Checking Routing # *

    Bank Account # *

    Will your business be accepting American Express?


    Submit my Application

    I agree that the information herein are true and correct


    Equipment Communication Method

    Wooshcorp, Inc. is a Merchant Service Provider (MSP), an Elavon Global Payments Partner & Registered MSP/ISO of Elavon, Inc. Atlanta, GA.
    Privacy Policy. Proudly Designed in the U.S.A. by Volcanic Star

    © Copyright 2020 Wooshcorp. All rights reserved.