Onboarding - Loop Payments

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Company Info

DBA Name*

Legal Name*

Physical Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Website*

Mailing Address

Same as Physical Address

Street Address Address Line 2 City State ZIP Code

Entity Type*

EIN Number*

State of Incorporation*

Main location*

Store/Office

Tradeshow

Residence

Other

Other Location*

Credit Card Acceptance

Business Questions

I currently or previously accepted credit cards

I have previously been terminated by risk monitoring

I am currently open for business

My business is Seasonal

Current Provider*

Seasonal Months Open*

Termination Details*

Communication Preferences

Statements Preferences*

Tax forms preferences*

Typical Volume Expectations

Annual Volume*

Average Transaction Amount*

Highest Expected Transaction Amount*

% Card Present Transactions*

% Card NOT Present Transactions

Merchant Policies

What is your Return/Refund Policy*

Enter n/a if used for donations

What Products/Services do you sell*

Online/Mail/Phone Questionnaire

Percent of Business Sales*

Percent of Consumer Sales*

Do you have a retail location?*

Yes

No

Do you sell a service or products?*

Services

Products

Description of items sold*

Enter Donations if you are a non profit

Percent of MAIL transactions

Percent of Online transactions

Percent of Phone transactions

Percent of Card present transactions

Physical Address of Business*

Same as previous

Street Address Address Line 2 City State ZIP Code

How many chargebacks did you have for the previous year?*

What was the total dollar amount of those chargebacks?*

How do you advertise?

Legal Contacts

Signers on the account. For a non profit, enter the CEO or controlling officer.

Contacts

Name	Actions

There are no Contacts.

Driver's License*

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Drivers License*

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Upload Files (optional)

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Upload previous credit card statements and bank statements here.

Loop Payments Onboarding

Company Info

Credit Card Acceptance

Communication Preferences

Typical Volume Expectations

Merchant Policies

Online/Mail/Phone Questionnaire

Legal Contacts