1. Smarter
Faster
EasierSmart for Your Business
Fast
The Smart Choice For
Immediate Working CapitalSM
Easy Access to Cash
Call Today To Find Out How Much You Qualify For:
MARTIN BUSS
800-450-0031 Ext 2370 (Toll Free)
318-581-8398 (Direct Line)
mbuss@globalmerchantservices.com

2. Please fax the following along with your application:
Last 4 months of Visa/Master Card Statements.•
_______________________________________•
_______________________________________•
Merchant Information
Legal Business Name DBA Name Estimated Total Monthly Sales Time Remaining on Site Lease/Mort.
Street Address % Ownership Type of Business Landlord/Agent Name
City Federal Tax ID Number (9 Digits) Years in Business Landlord/Agent Phone
State Zip Intended Use of Cash Advance Number of Locations Name of bank (Business)
Business Phone Requested Amount Is your business for sale? Have you had a previous cash advance?
Business Fax Email Have you ever filed for bankruptcy? Any federal or state tax liens?
Current Processor Number of Terminals at Location
Merchant Account Number Time with Current Processor
Terminal Type Average Monthly Volume – Visa/MC
Credit Card Processor Information
Merchant ID Partner Name/ID
F O R P A R T N E R U S E O N L Y F O R P A R T N E R U S E O N L Y F O R P A R T N E R U S E O N L Y
u
u
u
u
3 Minute Merchant Application
Fax To: 1-800-209-0611
Principal Owner Name Social Security Number
Home Street Address Date of Birth (00/00/0000)
City % Ownership?
State Zip How long at home address?
Home Phone How long at previous address?
Mobile Phone Estimated Current Annual Income
Name of Bank (Personal)
Principal Owner Information
Principal Owner Name Social Security Number
Home Street Address Date of Birth (00/00/0000)
City % Ownership?
State Zip How long at home address?
Home Phone How long at previous address?
Mobile Phone Estimated Current Annual Income
Name of Bank (Personal)
Principal Owner Information
Rev.
9.4.16
nono
no no
Partner Sales Person Name Partner Phone
By signing this Agreement, the Business and Principal Owner(s) hereby authorize inquiry into their credit and financial information, including, but not limited to,
consumer reports and credit bureaus, and criminal and civil matters. Without limiting the generality of the preceding sentence, the Merchant hereby authorizes
our company to obtain consumer and/or investigative reports from one or more consumer reporting agencies about Merchant. By signing this Agreement,
the Merchant hereby authorizes us obtain the twelve most recent monthly reports (If Applicable) detailing Merchant’s credit card processing activity from its
card processor or any agent or other third party utilized by that processor to authorize, clear and/or settle credit card payments.
Merchant:_______________________________________________________________________By:_______________________________________________________
(signature)
PrintName:_________________________________________________Title:___________________________________ Date:________________________
Owner:_____________________________________________________PrintName:_________________________________________Date:_______________________
(signature)
1
STANDARD CASH ADVANCE LOAN PROGRAMSTARTER CASH ADVANCE
Global Merchant Services
Last 4 Months Business Bank Statements
Copy Of Voided Check And Driver's License
MARTIN BUSS 1-800-450-0031 Ext 2370/ 1-318-581-8398 (Direct Line)