Payment Circle | Apply Now for Merchant Services

Get Started with Payment Circle

Fill out the form below and we’ll get back to you shortly.

Payment Circle • Get Started

Get Started with Payment Circle

Complete your application in a guided step-by-step process. Your progress is saved as you continue.

1 Quick Application

2 Business Information

3 Personal Information

4 Business Profile

5 Credit Card Processing

6 Review & Submit

✓ Guided application ✓ Secure saving ✓ Admin review

Step 1 of 6

Quick Application

Fill out the form below and we’ll get back to you shortly.

Secure application

First Name *

Last Name *

Title / Role *

Email *

Phone Number *

Website URL (Optional)

Address *

DBA Business Name *

Monthly Processing Volume *

Business Industry *

How do you want to accept payments? *

In-Person

Online

Over the Phone

Step 2 of 6

Business Information

Tell us about the legal business, location, and primary business contacts.

Secure application

Type of Ownership *

Legal Business Name *

DBA Name (optional)

EIN *

Premise Type *

Years of Ownership *

Ownership Months *

Business Type *

Tax Exempt

Tax exempt

CONTACTS

Business Phone Number *

Business Email *

Business Website URL (optional)

DBA ADDRESS

DBA Business Address *

DBA City *

DBA State *

DBA Zip *

Years at Location *

Months at Location *

LEGAL BUSINESS ADDRESS

Legal Address

Same as DBA

Legal Business Address *

Legal City *

Legal State *

Legal Zip *

Legal Phone Number *

⇧

Upload documents

Add supporting files at any point during the detailed application. Uploaded documents stay attached to this lead for administrator review.

⇧

Drag and drop files here or click to upload JPG, JPEG, PNG, WEBP, PDF, DOC/DOCX, XLS/XLSX, PPT/PPTX • up to 12 MB per file

Documents are uploaded for WordPress administrator review and are not attached to notification emails.

Your progress is saved when you continue. Sensitive documents are never attached to notification emails.

Step 3 of 6

Personal Information

Provide the principal owner or signer information used for the application review.

Secure application

Personal information the same as your DBA or Legal

Same as DBA

Same as Legal

Title *

First Name *

Last Name *

Personal Phone *

Personal Email *

Personal Street Address *

City *

State *

Zip *

Years of Residence *

Residence Months *

IDENTITY DOCUMENT

Citizenship Status *

Social Security Number *

OWNERSHIP

Ownership Percentage *

Additional Owner Name

Additional Owner Ownership %

⇧

Upload documents

Add supporting files at any point during the detailed application. Uploaded documents stay attached to this lead for administrator review.

⇧

Drag and drop files here or click to upload JPG, JPEG, PNG, WEBP, PDF, DOC/DOCX, XLS/XLSX, PPT/PPTX • up to 12 MB per file

Documents are uploaded for WordPress administrator review and are not attached to notification emails.

Your progress is saved when you continue. Sensitive documents are never attached to notification emails.

Step 4 of 6

Business Profile

Answer the questions below so the processing profile can be reviewed accurately.

Secure application

Products and services description *

Select all ways that your products and/or services are advertised *

Online

Radio

Other

Are there 3rd party applications involved with your payment process? *

Yes

Is your business PCI compliant? *

Yes

Has the business or any associated owner ever been terminated as a Visa/Mastercard/Discover/AMEX merchant? *

Yes

Has the business had any ongoing or prior data compromise investigations? *

Yes

Has the business been previously identified with Visa Risk Programs? *

Yes

Multiple locations? *

Yes

⇧

Upload documents

Add supporting files at any point during the detailed application. Uploaded documents stay attached to this lead for administrator review.

⇧

Drag and drop files here or click to upload JPG, JPEG, PNG, WEBP, PDF, DOC/DOCX, XLS/XLSX, PPT/PPTX • up to 12 MB per file

Documents are uploaded for WordPress administrator review and are not attached to notification emails.

Your progress is saved when you continue. Sensitive documents are never attached to notification emails.

Step 5 of 6

Credit Card Processing

Provide your current processing mix, expected amounts, and settlement bank information.

Secure application

Do you currently accept Visa, Mastercard, Discover and/or AMEX? *

Yes

Select all ways you accept credit & debit cards

Online

In-Store

On the Go

Over the Phone

Sales Swiped % *

Sales Keyed-In % *

Online Sales % *

Total0.00%

PROCESSING AMOUNTS

Max Monthly Sales *

Average Sale Amount *

Highest Sale Amount *

BUSINESS BANK DETAILS

Routing Number *

Account Number *

Bank Name *

⇧

Upload documents

Add supporting files at any point during the detailed application. Uploaded documents stay attached to this lead for administrator review.

⇧

Drag and drop files here or click to upload JPG, JPEG, PNG, WEBP, PDF, DOC/DOCX, XLS/XLSX, PPT/PPTX • up to 12 MB per file

Documents are uploaded for WordPress administrator review and are not attached to notification emails.

Your progress is saved when you continue. Sensitive documents are never attached to notification emails.

Step 6 of 6

Review & Submit

Review the application, confirm the available documents, and submit the completed request.

Secure application

✓

Great work! Your application is ready for review.

Review the summary below, upload any supporting documents you have available, and submit when ready.

Documents Available

Front and back of driver’s license

Last 6 months of processing statements (if available)

Articles of Association / EIN

Last 6 months of business bank statements

Voided check or bank letter

Photograph of SSN card

Application Certification *

I confirm the information provided is accurate to the best of my knowledge.

⇧

Upload documents

Add supporting files at any point during the detailed application. Uploaded documents stay attached to this lead for administrator review.

⇧

Drag and drop files here or click to upload JPG, JPEG, PNG, WEBP, PDF, DOC/DOCX, XLS/XLSX, PPT/PPTX • up to 12 MB per file

Documents are uploaded for WordPress administrator review and are not attached to notification emails.

Your progress is saved when you continue. Sensitive documents are never attached to notification emails.

✓

Application Submitted Successfully

Thank you. Your application has been received by Payment Circle. Our team will review the information and follow up using the contact details you provided.

Send a Copy on WhatsApp →

Form Submitted Successfully!

Thank you for submitting your initial application. We’ve saved the information you provided.

Want to speed up the review? Continue with the detailed fast-track application, or choose “I’ll Wait” to submit the short application now.