Payment Processing Direct - PPDirect Credit Pre-Approval

PPDirect Credit Pre-Approval

Corporate Information
Corporate Name:
Corporate Address:
Corporate City:
Corporate State:
Corporate Zip:
Corporate Start Date:
Federal Tax ID:
DBA Information
DBA Name:
New Business:	Yes No
DBA Start Date (Month/Year):
Owner Information
Owner First Name:
Owner Last Name:
Owner Email Address:
Owner Home Address:
Owner Home City:
Owner Home State:
Owner Home Zip:
Owner Social Security Number:
Owner Date of Birth:
Additional Information
Website URL:
Months in Business:
Merchant Profile: Describe products or services being offered (be specific)
Estimated Monthly Volume:
Estimated Average Ticket:
PPD Agent Name:
Authorization: By pressing the "Submit" button below, and submitting this application, you also authorize Payment Processing, Inc. to obtain credit, financial and other information regarding Merchant from other persons or entities, including commercial and consumer reporting agencies. You are required to give written authorization to verify both personal and business credit, as well as personal and business background. If you do not consent, please stop here and press the cancel button.
Check here to accept and agree to the above