Get Approval – ACQUPAY | Merchant Services

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Apply Now

Fill out the below form to send us your application and begin using ACQUPAY Merchant Services.

Front Cover Sheet

Prior to completing our digital application, please download our application signature page here. Sign, print, and date the highlighted sections and upload the signed document when prompted toward the end of the form.

Business (DBA)

Contact First Name

Contact Last Name

Business Phone #

Business Address

City

State

ZIP

Rep Number

ACQUPAY Account Type

Company Information (Page 1 of 2)

DBA Name

Contact Name

Corporate Name

Type of Business

Employer Identification (EIN)

DBA Address 1

DBA Address 2

City

State / Province

ZIP / Postal code

Country

Mailing address is the same as location address

Mailing Address 1

Mailing Address 2

City

State / Province

ZIP / Postal code

Country

Shipping address is the same as location address

Shipping Address 1

Shipping Address 2

City

State / Province

ZIP / Postal code

Country

Country of Formation

Country of Primary Business Operations

DBA Phone #

DBA Fax #

Email Address

Year Established

Current Ownership (years)

Current Ownership (months)

Mobile Phone #

Beneficial Owner Exemption

Statements / Retrievals / Chargebacks

Statement FormatElectricPaper

StatementsDBAMailingW-9

RetrievalsMail RetrievalsFax RetrievalsEmail RetrievalsOnline Case Management

Email Retrievals to

ChargebacksMail ChargebacksFax ChargebacksEmail ChargebacksOnline Case Management

Email Chargebacks to

Why Choose ACQUPAY?

Discover why our merchant services are a cut above the rest

Secure Payments

The data of our merchants and their customers are always protected with advanced data security.

Expert Guidance

Our team of specialized experts provide the software configuration that works best for your business.

Competitive Rates

Stop paying overpriced commissions — we offer the lowest processing rates and no hidden fees.

Dedicated Support

Receive ongoing service and on-demand support for any requests, repairs, and general assistance.