Merchant Application

Apply for payment processing. We’ll handle the next steps.

Tell us about your business, current processing setup, and ownership information. Once submitted, the NRG team will review your application and follow up with anything else needed to move forward.

Application

Tell us about your business.

The information below will be used to create your NRG Payments client file and prepare the appropriate processing application for signature.

Secure merchant application

Business Information

DBA Name *

Legal Name *

Business Type *

EIN/Tax ID Number *

Products & Services Sold *

Website URL *

Business Email *

Business Phone *

Legal Business Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Different Mailing Address? *

Mailing Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Timezone *

Processing Information

Transaction Breakdown (%) *Percent of Business (must equal 100%)
(Card Swipe/Manually Keyed/Phone Order/Internet)

Average Ticket ($) *

High Ticket ($) *

Average Monthly CC Volume ($) *

Average Monthly Amex Volume ($) *

Amex Monthly Volume >$1M? *

Amex Account Number

Prior MATCH Listing? *

Banking Information

Bank Name *

Name on Account *

Account Type *

Account Number *

Routing Number *

Need help?

Questions before you submit?

If you are unsure what to provide or have questions about your payment setup, contact the NRG team and we’ll help point you in the right direction.

Contact NRG →