Skip to content
Patel Processing
The Complete Solution For Your Business
Home
About Us
Industries
Petroleum
Hospitality
Restaurants
High Risk Merchant
E-Commerce
Liquor Stores
Smoke Shop
Nail Salon
Convenience Stores
Nonprofits
Medical
Wholesales
Solutions
Credit Card Processing
Cash Discount
Cash Advance
Customer Loyalty Program
Technology Solutions
Patel Family
Integrated Payment Solution
Terminals
Blog
Partner Program
Become A Partner
Referral Program
Resources
FAQs
Forms
Merchant Form
RMA
Service Cancellation Request
Login
Client Login
Partner Login
Contact Us
Locations
Facebook page opens in new window
Twitter page opens in new window
Instagram page opens in new window
YouTube page opens in new window
Linkedin page opens in new window
Home
About Us
Industries
Petroleum
Hospitality
Restaurants
High Risk Merchant
E-Commerce
Liquor Stores
Smoke Shop
Nail Salon
Convenience Stores
Nonprofits
Medical
Wholesales
Solutions
Credit Card Processing
Cash Discount
Cash Advance
Customer Loyalty Program
Technology Solutions
Patel Family
Integrated Payment Solution
Terminals
Blog
Partner Program
Become A Partner
Referral Program
Resources
FAQs
Forms
Merchant Form
RMA
Service Cancellation Request
Login
Client Login
Partner Login
Contact Us
Locations
Merchant Form
You are here:
Home
Merchant Form
Business Information
Legal Name Of Business
DBA Name
Date Of Business Established
Taxpayer identyfication number
Business Phone No
Type Of Business
Liquor Store
Grocery Store
Convenience Store
Hotel
Other
Type Of Business
Business Email
Business Website
Physical Address
Unit
State
City
Zip Code
Billing Address
Unit
State
City
Zip Code
Principal Information
List Name One Principal owner position help with company
Last Name
First Name
Middle Name
Title
Ownership Percentage
Date Of Birth
Social Security Number
Home Phone
Cell Phone Number
Your Address
Unit
State
City
Zip Code
Driving Lincense Number
Lincense Expiry Date
Owner Email Address
Attachment Required
Driver Licenses
Driver Licenses
Voided Check or Bank Letter
Voided Check or Bank Letter
Other Document
Other Documents
FNS Number
Banking Information
Name Of the Bank
Bank Address
Business Checking Account Number
Business Checking Routing Number
Acceptance
I Accept the
Terms and Conditions
Send
Choose your region and language
United States (English)
Canada (English)