Integrated Payments with ACHQ

Please answer the following questions about your business. You’ll be asked to provide information to verify the business and identity of the primary business contacts. This form should take you about 10 minutes to complete.

Step 1 of 2

- Business Details
  The information you provide below will help us verify and understand your business.
- Business Name*
- Legal Business Name*
  .
- Tax ID*
  Employer Identification Number (EIN)
- Phone*
- Business Type*
- State of Incorporation*
- Primary Email*
- Website*
- Business Description and Target Verticals*
  In a few sentences, describe your customers and the products or services you offer as well as your specific use of ACH payments.
- Customer Service Phone*
- Customer Service Email*
- Business Address
- Main Address*
  
  Street Address
  
  Address Line 2
  
  City
  State
  
  ZIP Code

Save and Continue Later

Integrated Payments with ACHQ

Step 1 of 2

Business Details

Business Address

Authorized Representative

Banking Details

That's it!