Merchant Signup Form Risk Requirements

Business Information

Legal Business Name

The legal name of the business.

Business Tax ID Number

The government-issued tax ID number assigned to the business.

Type (Business Structure)

The business entity formation type.

Public Company

The status of the business as publicly traded or privately held.

Website

The main URL for the business website.

Email

The primary business email.

Address

The street address of the business.

City

The city of the business address.

State

The state or province of the business address.

Country

The country of the business address.

Zip Code

The postal or ZIP code for the business address.

Phone

The primary business phone number.

MCC

Merchant Category Code: A four-digit number assigned to businesses by credit card networks to classify their business type.

Primary Owner (Principal Signer) Information

First Name

The primary owner’s legal first name.

Last Name

The primary owner’s legal last name.

DOB

The primary owner’s date of birth.

SSN (TIN)

The government-issued tax ID number assigned to the primary owner.

Business Title (Principal's Title)

Primary owner’s title within the business.

Ownership %

Primary owner’s ownership percentage.

Principal Signer's Email

Primary owner’s email address.

Principal Signer's Address

The primary owner’s personal street address.

Principal Signer's City

The city of the primary owner’s address.

Principal Signer's State

The state or province of the primary owner’s address.

Principal Signer's Country

The country of the primary owner’s address.

Principal Signer's Zip Code

The postal or ZIP code for the primary owner’s address.

Principal Signer's Phone

The primary owner’s phone number.

Banking Information

Account Number

The primary business bank account number.

Routing Number

The primary business bank routing number.

Terms & Conditions

Bank Disclosure

Payrix Direct Merchant Agreement & Bank Disclosure

Merchant Terms & Conditions

Payrix Sub-Merchant Agreement