Interesting Image
Electronic Merchant Application

Business Information 

W-9 Information
Banking Information
Owner Information

Equipment Information
Pricing Information
Account Information

Upon submission this information will be used to apply for a merchant account with

Valued Merchant Services and/or one of our partners.

You will receive a copy of this application by email that requires electronic signature prior to approval. You may also receive requests by email for any supporting documentation required by underwriting.

Please email a voided business check or bank letter to prior to clicking submit below.

If you have questions about this submission, please contact us at

1-800-531-8575 x 0 or 1-208-569-4289