New Merchant Application Form

This is a FREE service we provide to you, in order to HELP you apply for New Merchant Accounts through First Data Loan Corporation, NOT an application for a credit card

  • If you currently have Merchant Accounts then please fill out our Existing Merchant Application Form instead.

  • You must have a Canadian business address to apply for Merchant Services with TD Canada Trust and First Data MasterCard

New Merchant Application Form
Business Name:

** as it appears on your bank statement.

URL:
Address:
City:
Province or State:
Country:
Postal :
Phone (111-111-1111):
Fax (111-111-1111):

Primary Contact's Full Name

E-mail:

Technical Contact's Full Name

E-mail:
Currency:

 Enter the specifics of the bank where you currently have your corporate account.

Your Corporate Bank:  

Bank Transit Number:  

Bank Account Number:  

***The contents of this form are passed to each credit card company for confirmation of the bank accounts where you want your funds deposited. By completing this form you authorize each card company to contact your bankers to confirm the status of your merchant and bank accounts for accuracy. You will be made aware of any errors for prompt resolution.***

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