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Required Documentation
Fee & Pricing Explanation
Agreement & Terms
VersaPay Merchant Application
Step 1 of 2: Business & Ownership Information
Bold fields are required. Leaving any field blank will cause your application to be delayed. Rather than leaving any field blank, please use "N/A" or "Non-Applicable"
* VersaCard is only available if you are a BDL customer
Association Information
Your Business Information
Please enter your business's name and information as if it were listed in the local telephone pages.
We must be able to confirm your business location and address to complete this application.
Please enter your full email address, for example, name@domain.com
It is important to provide accurate ownership information. If there is more than 2 owners (owning collectively 51% or more of the company), please contact us for a full application.
No information entered herein shall be shared or used for any purpose other than to approve you for a Merchant Account..
Your information is protected by our Privacy Policy.
If you own less than 51% of Company, please complete the information for secondary owner below:
