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Merchant Application

Fill out the form below to begin your POS onboarding. Fields marked with * are required.

01

Business Details

Tell us the legal and operating names of your business
Please enter your business operating name.
Please enter the legal name.
Street is required.
City is required.
State is required.
ZIP is required.
Street is required.
City is required.
State is required.
ZIP is required.
02

Merchant Information

Basic information about the person applying
Please enter your first name.
Please enter your last name.
Please enter a valid email address.
Please select your date of birth.
Please enter a valid 10-digit business contact number.
Please enter a valid 10-digit mobile number.
03

Address Information

Where you live and where to ship equipment
Street is required.
City is required.
State is required.
ZIP is required.
Street is required.
City is required.
State is required.
ZIP is required.

04

Tax & Identification

Used to verify your business and identity
Please enter a valid EIN / TIN (format: XX-XXXXXXX).
Please enter a valid SSN (format: XXX-XX-XXXX).
05

Required Documents

Accepted formats: PDF, JPG, PNG (Max 30MB each)
✖No file chosen
✖No file chosen
✖No file chosen
SECURE SUBMISSION NOTICE: Your privacy is our priority. The personal and corporate data, banking details, and verification documents submitted via this form are strictly confidential. They are collected securely for merchant underwriting, identity validation, and regulatory compliance. Transmission is fully encrypted. By submitting this form, you authorize Core Merchant Solution to verify this information.