Merchant Application Follow-Up Info | Durango Merchant Services

To Expedite Your Application Approval, Please Fill Out The Following Form

This helps your account manager approach the first conversation with more context, allowing us to plan our negotiation strategy, understand needed documentation and help optimize chances of approval.

Full Merchant Account Application

Step 1 of 6

Name *

First

Last

Email *

Phone Number *

Business Information

How Do You Want to Submit Data?

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Upload Documents

If you have documents that you want to securely upload to expedite the application process, please ensure that all the data requested below is in the documents.

Business Registration Type

Company Legal Name

Company DBA Name

Registered Tax ID

Such as EIN in the United States or the European Equivalent

Business Physical Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is your physical address and mailing address the same?

Business Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What is your business model?

Business Phone Number

Business FAX Number

Business Website / URL

Owners Personal Information

First Name

Last Name

Title

Ownership Amount

Home Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How long have you lived at this address? (in Years)

Home Phone Number

Social Security Number

Date of Birth

Drivers License State

Drivers License Number

Take a Picture of Your ID

If you would like to securely submit a photo of your ID, you can use our camera feature to take it and upload it with your phone. IDs images are only used for application processing and will be deleted upon completion.

Do You Want to Add Another Signer / Principal?

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To Expedite Your Application Approval, Please Fill Out The Following Form

Full Merchant Account Application

Business Information

Business History

Processing Numbers

Sales Channel Share

Bank Information

Owners Personal Information

Principle 2 Information

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