Merchant Services Application Form

Business Profile for Merchant Services,(Information for application purposes only and is not a guarantee of acceptance) Please Note: The personal information you supply will be used only for the purpose of qualifying you for a merchant account by VITAPAY. This information is held in the strictest confidence and is never sold, rented, or shared with any other business or third party.
**This is not the final step in the process. VITAPAY will take this info and send an application to you for your review. Your processing account can be set up a few days after you return your signed official application.