Call Us: 1 (877) 323-1845

Merchant Pre-Application Form

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Legal Business Name *

DBA Name (Doing business As) *

Business Address *

Incorporation State *

Incorporation Date *

Entity Employer Identification Number (EIN) *

Website URL Applying for processing *

Type of Goods or Services offered *

Test Username / Password to Member area (if applicable)

Principal: Full Name *

Principal Physical Address *

Principal Phone Number *

Principal Email Address *

Principal Social Security # *

Has entity processed before? *

Current Monthly Processing Volume (If applicable) *

Average Transaction Size *

Estimated # of Monthly Transactions *

Desired Monthly Transaction Volume ($) *

sales@triyd.com

+1 (877) 323-1845