BayTM Services

Email: contact@baytmservices.com
Phone: (510) 747-8021
‍Fields marked with an asterisk (*) are required.

Solutions of Interest (Select all that apply)

Debit Card ProcessingCredit Card ProcessingOnline Payment SolutionATM Services

Business Information

Merchant Corporate Name *

Merchant Business Name (Doing Business As) *

Merchant Address *

Merchant City *

Merchant State *

Merchant Zip *

Business Phone *

Business Email Address *

Product/Services Sold *

State Incorporated *

Month & Year Started *

Federal Tax ID # *

Business License # *

Business Start Date *

State Filed *

Number of Employees *

Business Entity Type *

Monthly Sales Volume *

Average Ticket Size *

Highest Ticket Amount *

Shipping Address *

Ownership Information

Number of Owners *

Owner 1 Information

Full Name *
Driver Lic# & State *
Date of Birth *
SSN *
Ownership Percentage *
Title / Position *
Address *
City *
State *
Zip Code *
Home/Cell Phone *

Owner 2 Information

Full Name *
Driver Lic# & State *
Date of Birth *
SSN *
Ownership Percentage *
Title / Position *
Address *
City *
State *
Zip Code *
Home/Cell Phone *

Business Bank Information

Financial Institution Name *

Company/Depositor name as shown on the bank records *

Bank Routing # *

Bank Account# *

Type of Account
CheckingSavings

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