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Online Merchant Account Application

Instant Online Quote

When you submit your application, you’ll get an instant price quote to DocuSign. No offline paperwork, no faxes, no waiting.

Industry Minimum Pricing

You will automatically receive Industry Minimum Pricing in your online quote. No more frustrating haggling with sales reps.

Friendly Client Support

When you call or email, you’ll always speak with our friendly, in-house client support team.

"*" indicates required fields

Step 1 of 6 – Basic Information

Application Type*

Legal Business Name*

0 of 30 max characters

"Doing Business As" Name*

0 of 30 max characters

First Name*

0 of 16 max characters

Last Name*

0 of 16 max characters

Email*

Contact Phone*

Customer Service Phone*

Send SMS Updates

Select An Industry*

Business Address

Street Address*

0 of 30 max characters

City*

0 of 30 max characters

State*

Zip Code*

0 of 5 max characters

Country*

Office Location*

Office Square Footage*

Is Office Location Owned Or Leased?*

Own: We Own Our Business Location

Lease: We Lease Our Business Location

Is This A Virtual Office Location?*

Yes

Primary Business Owner

First Name*

0 of 16 max characters

Last Name*

0 of 16 max characters

Owner Home Address*

0 of 30 max characters

City*

0 of 30 max characters

State*

Zip Code*

0 of 5 max characters

Country*

Years At Current Address*

0 of 2 max characters

Personal Phone*

Owner's Date Of Birth*

Owner's Driver's License #*

0 of 15 max characters

Owner's Social Security #*

Approximate % Owned By Listed Owner*

25%

51%

75%

100%

Driver's License Expiration Date*

Underwriting Required Supporting Documents

To receive your price quote and DocuSign application immediately, upload your supporting documents now.
Otherwise, you can submit these documents separately from your application, by emailing them to sales@nutrapayments.com.

Last 3 Business / Personal Monthly Bank Statements

Drop files here or

Max. file size: 19 MB, Max. files: 9.

Voided Company Check

Drop files here or

Max. file size: 19 MB, Max. files: 9.

Owner ID / Drivers License

Drop files here or

Max. file size: 19 MB, Max. files: 9.

Last 3 Merchant Account Monthly Statements (If Applicable)

Drop files here or

Max. file size: 19 MB, Max. files: 9.

Business Formation Documents

Drop files here or

Max. file size: 19 MB, Max. files: 9.

Proof of Inventory (Photos) or Agreement with Fulfillment/Distributor Service

Drop files here or

Max. file size: 19 MB, Max. files: 9.