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Merchant Application

Fill out the form below to begin your POS onboarding. Fields marked with * are required.

Secure onboarding

Application details

Complete each section below. Your information is protected and reviewed by our onboarding team.

Business Details

Tell us the legal and operating names of your business

Business Name / DBA *

Legal Name *

Business Address *

Legal Address *

Merchant Information

Basic information about the person applying

First Name *

Last Name *

Email *

Date of Birth *

Business Number *

Mobile Number *

Address Information

Where you live and where to ship equipment

Home Address *

Shipping Address *

Shipping address is the same as my home address

Tax & Identification

Used to verify your business and identity

EIN / TIN *

SSN # *

Required Documents

Accepted formats: PDF, JPG, PNG (Max 5MB each)

Business License / Incorporation Documents * Click or drag & drop a file to upload
PDF, JPG or PNG No file chosen

Driver's License / Photo ID * Click or drag & drop a file to upload
PDF, JPG or PNG No file chosen

Business Voided Check * Click or drag & drop a file to upload
PDF, JPG or PNG No file chosen

Review & Submit

Review your application before submitting

SECURE SUBMISSION NOTICE:

Your privacy is our priority. The personal and corporate data, banking details, and verification documents submitted via this form are strictly confidential. They are collected securely for merchant underwriting, identity validation, and regulatory compliance. Transmission is fully encrypted. By submitting this form, you authorize American Network Digital Solution to verify this information.