Get Medical Practice Merchant Application - Bmedfusionbbcomb

This guide provides a step-by-step approach to completing the Medical Practice Merchant Application - Bmedfusionbbcomb online. It is designed to aid users with varying levels of experience in accurately filling out the application form.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the application and open it in the required editor.
2. Begin by providing the location details. Include the last six months of merchant processing statements for each location specified. Ensure that all documents are current and reflect accurate information.
3. In the Organization Data section, fill in the 'DBA Name', 'Contact Name', 'DBA Phone #', 'DBA Address 1' (ensure not to use a PO Box), 'DBA Fax #', and 'Customer Service Phone #' accurately. If applicable, complete 'DBA Address 2'.
4. Provide your 'Legal Data' including the city, state, zip code, year established, and details about your previous processor and current ownership length. Make sure to include email addresses and mobile phone numbers where asked.
5. In the 'Principal Data' sections, include information for each owner or partner, such as percentage of ownership, date of birth (DOB), social security number (SSN), home address, home phone number, and title if applicable.
6. Detail your financial information, which includes total monthly transactions, average sale amount, maximum sale amount, and a breakdown of card present and internet sales along with the respective percentages.
7. List the products or services you plan to offer through the merchant services and include your website address to facilitate better evaluation.
8. Complete the 'Bank Data' section with your deposit bank details, including the bank name, ABA/routing number, and DDA account number, along with contact information.
9. Indicate which cards you wish to accept, verifying that the list includes Visa Credit, Visa Debit, MasterCard, American Express, and any other applicable options.
10. Review your provided information for accuracy. Once confirmed, you may save changes, download, print, or share the completed application as necessary.

Complete your Medical Practice Merchant Application online today and streamline your processing setup.