Panhandle Merchant Services Application

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Business Name

Business Email

Business Address

Business DBA

Business EIN

Business Open Date

Business Phone

Business Website

Owners Legal Name

Owners Date of Birth

Owners Social Security Number

Owners Phone Number

Additional Owners

Requested Monthly Processing Amount

Highest Single Transaction Amount

Average Ticket

What Line Of Business Are You In?

Additional Owners Social Security Number

Additional Owners Date Of Birth

By Submitting This Application To Underwriting. You Agree To All Terms And Conditions. We Don’t Have Contracts. And This Acts As Your Electronic Signature For Underwriting. Your Privacy Is Important To Us We Will Never Share Or Sell Your Information.

Panhandle Merchant Services Application

Panhandle Merchant Services33 W. Garden St #3Pensacola, FL 32502Sales@pmsgulfcoast.com(850) 565-4727“LOCAL CREDIT CARD PROCESSING”Copyright @2017 PMS All rights reserved.

Panhandle Merchant Services
33 W. Garden St #3
Pensacola, FL 32502
Sales@pmsgulfcoast.com
(850) 565-4727
“LOCAL CREDIT CARD PROCESSING”
Copyright @2017 PMS All rights reserved.