Onboarding

Step 1 of 4

Type of Ownership(Required)

Legal Business Name(Required)

DBA Name (if different from legal business name)

Phone(Required)

Email(Required)

Enter Email Confirm Email

TAX ID / EIN(Required)

Premise Type(Required)

Business Ownership Years(Required)

Business Ownership Months(Required)

Business Website Address(Required)

Business Type(Required)

Business SIC Code

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is your DBA address the same as your Legal Business address?(Required)

YES

Number of Years at Current Location(Required)

Number of Months at Current Location(Required)

DBA Phone Number(Required)

DBA Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Owner Ship

Name(Required)

First Last

Date of Brith(Required)

Social Security Number(Required)

Personal Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Identification Type

ID Number

Country

State

% Ownership(Required)

If less than 100%, we will need additional owner information.

Additional Owner

Name

First Last

Date of Brith

Social Security Number

Is your Personal address the same as your Business or DBA address?

Same as Legal

Same as DBA

Personal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Identification Type

ID Number

Country

State

% Ownership

If there are more than two owners please email the information to your account rep and continue filling out the form.

Owner Ship

Additional Owner

Business Bank Information

Moneybox Merchant Services Inc

Quick Links

Company

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