Shaw Merchant Group - Merchant Application for Business Financing

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Shaw Merchant Group

Application for Business Financing

Owner Title

Owner Equity Percentage*

First Name*

Last Name*

Home Address*

Suite/Apartment

City*

State*

Zip Code*

Telephone Number*

Date of Birth*

SSN*

Business Name / DBA*

Corporate / Legal Business Name*

Business Type

Fed Tax ID*

Merchandise/Services Sold*

High Ticket Amount*

Average Ticket Amount*

Average Monthly Volume*

Business Telephone Number*

Business Fax Number

Business Website Address

Business Email Address*

Business Address*

Suite/Apartment

City*

State*

Zip Code*

Where should we send your money?

Routing Number*

Account Number*
Do not enter anything in this field:

* indicates a required field

Submit Application for Processing

Please fill this field.

©2023 Shaw Merchant Group is a registered DBA of EPX, a registered ISO of BMO Harris Bank N.A., Chicago, IL, Fresno First Bank, Fresno, CA, and Citizens Bank N.A., Providence, RI.