Merchant Pre-Application
Complete the application below to get started. A specialist will review it and follow up — usually within 24–48 hours.
🔒
Your information is submitted over a secure connection. Sensitive fields (SSN, EIN, date of birth) are encrypted before storage and are never sent by email.
Company Information
Tell us about the business.
Owner / Officer / Authorized Signer (1)
Primary owner or authorized signer.
Owner / Officer / Authorized Signer (2)
Optional — leave blank if not applicable.
Merchant Detail
How the business processes payments.
After you submit, please email a copy of the owner/officer's driver's license and a voided check (or bank letter) to heather@fourleaftechnologies.com.
Please complete the required fields (Merchant DBA Name, Primary Contact Name, and Email).
✓ Application received
Thank you — your application has been submitted and our team will review it shortly. Please remember to email a copy of the driver's license and a voided check (or bank letter) to heather@fourleaftechnologies.com to complete your file.