Valley First Credit Union Merchant Services Pre-Application Form

Valley First Credit Union Merchant Services Pre-Application FormAshley Noland2023-06-07T17:43:25-04:00

DBA Name
Legal Name
Business Address
Street Address Address Line 2 City State ZIP Code
Business Phone
Business Fax (if applicable)
Website
Email
Fed Tax ID/EIN
Corporation Type
Year Established
Length of Current Ownership
Contact Name
First Last
Contact Phone
Annual Revenue (not specific to card volume)
Monthly Card Volume
Average Ticket
High Ticket
Financial Institution Name
ABA Routing Number
DDA Account Number
Authorized Signer
First Last
Title
Percent Ownership (if applicable)
Residential Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date of Birth

Merchant’s PACT is a registered Independent Sales Organization of Wells Fargo Bank, N.A., Concord, CA.