Skip to content
Menu
About
Your Business
Small Business Merchant Services
Mid-Size Business Merchant Services
Enterprise Merchant Services
Your Industry
Healthcare
Higher education & non-profit
Mass Transit
Public Sector
Restaurants
Retail
Service
Travel and hospitality
Solutions
Payment gateways
Payment optimization
Payments in person
Payments online
Reporting and management
Security & PCI compliance
Application
(718) 436-1800
info@persite.com
Join our movement with Zero Credit Card Fees. Forever!
Merchant's Profile
Legal Name
DPA
Entity Type
Contact First Name
Contact Last Name
Eamil
Phone Number
Business Address
Phone Number
City
State
Postal/Zip Code
Federal Text Id / SSN
Business Start Date
Years In Business
Mailing Address (If Different)
Website
Principal Information (Owner/ Partner/ Officer)
Full Name
Initals
Titte
Date Of Birth
Social Security Number
Phone Number
Drive License Number
Drive License State
DL Expiration
Home Address
City
State
Postal / Zip Code
Financial Information
Bank Name
Account Name
Account Type
Account Type
Busainess Checking
Checking
Savings
N/A
Account Number
Routing Number
Additional Information
Merchant Type
Merchant Type
Retail
Restaurant
MOTO
Hotel
Supermarket
Gas Station
Fuel
Car Rental
B2B
E-Commerce
C-Store
EBT Only
Others
If Others
Average Sale Amount
High Ticket
Average Monthly Sale
Tips
Tips
Yes
No
N/A
FNS Number (EBT)
Business Close Time
Attachments
Owner's Driver License
Front side only
Owner's Driver License
Front side only
Owner's Driver License *
Voided Check / Signed Bank Letter *
Check or Bank Letter must have pre-printed DBA name with address / routing & accounting numbers
Voided Check / Signed Bank Letter
Retail / Business License
If Requested
Retail / Business License
SS-4 Form
EIN verification
SS-4 Form
Last 3 Credit Card Statements
If Requested
Last 3 Credit Card Statements
501 (c) (3) Form / 1023 EZ Application
For non-profit organizations
501 (c) (3) Form / 1023 EZ Application
Other Documents
Other Documents
Send