Merchant Account Application

By submitting this form, each of the listed business and business owners/officers/members (individually and collectively, “you”) agrees to the review and approval process for a merchant services (credit card processing) account through the Jeison German Group and its affiliates including FiservFirst Data​, TSYS, with sponsor bank Wells Fargo. This may involve a credit check and verification of your business's credit card processing volume, the types of cards you accept, and additional information as needed to determine the best credit card processing rate available for you. A review of your most recent merchant statements may be required to complete this evaluation and to determine your new effective rate. 

Business Information

Seasonal business? *
Please select one of the following to identify your business type: *
For Full-Service Restaurants, Quick Service Restaurants, or Retail stores our solution includes the mobile application, online ordering capability, and third-party integration with solutions like Door Dash, Uber Eats, and Yelp. 

Owner/Officer 1 Information


Owner/Officer 2 Information

*Please note that your social security number or federal tax ID number is required to complete this application. We will call you to verify all information and securely take that by phone. 
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