Envision Processing Application

Please fill out the form to start processing with us!
If you have a monthly sales volume of over $50,000 or are a high risk parameters client please submit 3 months worth of bank statements using our file upload link button located at the bottom of the application!

Also by filling out this application and signing/Typing your name below you are agreeing to envision Processing’s as well as any of our partners terms of services and processing agreements. any further agreements will also be sent to you via email if not requested otherwise. You are also agreeing to allow Envision Processing to setup and manage your merchant service account.

Sales Code
Pricing



First Name
Last Name
Personal Address
Personal email
Date of Birth
Drivers License Number
Drivers License State
Social Security Number (This can also be entered in the web verification application)
Legal Business Name
DBA Name (If applicable)
Business Address
Business Email
Business Phone
Business Start Date
Select Title
Business Type/Services Provided
Business Tax ID Number
Business Highest Sale amount (Per Item)
Business average sale amount (Per Item)
Business Monthly Sales average
Bank Name
Business account Routing Number
Business Account Number
Privacy Policy and Terms of Service

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