Merchant Application

Business Information

Tell us about the business that will be processing payments.

Legal Business Name *

DBA Name (if different)

Business Address *

City *

State *

Zip Code *

Business Phone *

Business Tax ID / EIN *

Type of Ownership *

Products / Services Sold *

Owner Information

Details about the primary business owner or authorized signer.

First Name *

Last Name *

Home Address *

City *

State *

Zip Code *

Phone Number *

Ownership Percentage *

%

Social Security Number * Encrypted & never stored in plaintext

Date of Birth *

Driver's License Number *

DL Issuing State *

Banking & Documents

Where should we deposit your funds? Upload verification documents below.

Bank Account Details

Bank Name *

Routing Number *

Account Number *

Confirm Account Number *

Document Uploads

Voided Check *

Drop file or browse

JPG, PNG, or PDF up to 10MB

Driver's License *

Drop file or browse

Front of license — JPG, PNG, or PDF

Review & Submit

Please verify all information is correct before submitting your application.

Business Information

Owner Information

Banking & Documents

I certify that all information provided is accurate and complete. I authorize Flowpay to verify the information above and process this merchant application. I agree to the Terms of Service and Privacy Policy.

Business Information

Owner Information

Banking & Documents

Bank Account Details

Document Uploads

Review & Submit

Business Information

Owner Information

Banking & Documents

APPLICATION SUBMITTED