Tell us about yourself

Owner Name:

Email Address:

Mobile:

Owner Address:

Date of Birth:

Social Security Number:

Primary owner must be a US Citizen with a Social Security Number.

Job Title:

Owner has significant responsibility to control, manage or direct the company

Ownership Percentage:

The percent ownership stake that this person has in the company listed below.

Complete information on all owners with 25% or greater equity ownership in the company listed below must be disclosed on your application per U.S. Treasury Customer Due Diligence Requirements.

Tell us about your business

Select the industry your business is in

Enter the product or services for which you accept payments, so Authorize.net can match your business to an appropriate acquiring bank.

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Your selected industry

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Enter the product or services for which you accept payments, so Authorize.net can match your business to an appropriate acquiring bank.

Authorize.net sets up merchant accounts with an appropriate partner based on the industry that you select. Identifying the industry as "Other/Miscellaneous" may delay this process.

Describe in detail the reason you accept payments

Why do we need this? Certain business models are supported only by specialized acquirers. Authorize.net works with a large number of acquiring partners to ensure that your merchant account is set up with an appropriate partner.

Describe your Business:

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Payments, delivery, and sales

Some content here on why we need to capture this information

When is the Customer Charged?:

Do you Offer Subscriptions?:

No
Yes
Subscriptions charge your customers on a fixed schedule. For example, a monthly magazine subscription.

What percentage of subscriptions are:

Monthly

Quarterly

Semiannual

Annual

Timeframe to Product Delivery:

The number of days that it typically takes for you to deliver the product or service, after they are purchased by your customers.

Estimated Total Monthly Sales:

Projected monthly credit and/or debit card volume for this account.

Average Order Amount:

The average transaction amount that you charge customers.

Largest Expected Order Amount:

This is important if you have transactions that are much larger than your expected average. If the banks are expecting larger transactions, then they are less likely to flag them as potentially fraudulent.

Where do you want your funds deposited?

Note: We accept only U.S. checking accounts. If your checking account is not U.S. based, please pay by Credit Card.

Name on Checking Account:

U.S. Checking Account:

We are unable to process your request at this time. Please verify your billing information and try again.

Credit Card Number:

Expiration Date:

Name On Card:

Credit Card Billing Address

Use Owner Address Use Business Address Use Another Address

By checking each box below and clicking I AGREE, I confirm that I understand and have read each of the linked documents, and the business indicated above agrees to be bound by the terms contained therein:

By checking "I agree" and clicking SUBMIT:

I represent and warrant that I am the individual listed on the merchant application as the Applicant;
I authorize Authorize.net LLC and/or its subcontractors and merchant services providers to periodically obtain consumer reports about me and share such reports with their partners and affiliates in order to evaluate my request for a merchant account as well as my continued eligibility for a merchant account; and
I confirm that I understand and have read the document linked below, and the business indicated above agrees to be bound by the terms contained therein:

Authorize.net Gateway Service Agreement and Fees

Authorize.net eCheck Service Agreement

Global Direct Card Services Agreement

EVO Merchant Processing Agreement

Merchant Services Agreement

Please click the check box to indicate that you have read and understand the Authorize.net Payment Gateway Merchant Services Agreement before you click I Agree.

Please click the check boxes to indicate that you have read and understand the Authorize.net Payment Gateway Merchant Services Agreement and eCheck Services Agreement before you click I Agree.

Please click the check boxes to indicate that you have read and understand the Authorize.net Payment Gateway Merchant Services Agreement and Merchant Account Services Agreement before you click I Agree.

Authorize.net Fees

The one-time fee charged to establish a payment gateway account.

Setup (Non-Refundable)

$0.00

The monthly fee charged for a payment gateway account.

Monthly Gateway

$25.00

The fee assessed per batch of settled credit card transactions.

Batch

$0.00

The fee charged by the payment gateway for each credit card transaction processed for the account. The credit card transaction types that the per-transaction fee is charged for include: authorizations, capture, refunds, declines or other related transactions, completed or submitted within the payment gateway.

Credit Card Per Transaction

2.9% + $0.30

The chargeback fee is the penalty you pay when your customer successfully disputes a charge you make.

Per Chargeback

$25.00

Fees for receiving payments from buyer with Credit Cards issued outside United States

International Assessment

1.5%

Fees charged to process authorizations received over Phone

Verbal Authorization

$1.20

Additional Services

The monthly fee for the ability to process automated recurring billing transactions.

Automated Recurring Billing ^TM

Free

The monthly fee for access to Authorize.net's fraud-fighting tools.

Advanced Fraud Detection Suite ^TM

Free

The monthly fee for the ability to create and manage customer subscriptions.

Customer Information Manager

Free

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Merchant application

Help us understand your business by answering the questions below.

Merchant Services Agreement

Create your Authorize.net Account

Authorize.net Fees

Additional Services


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