Our exclusive, fully integrated electronic check payment method enables you to accept and process payments from bank accounts directly through your Web site or the Authorize.net Virtual Terminal. By accepting electronic checks, you expand the payment options available to new and existing customers, enhancing customer loyalty and potentially increasing sales.

For more information about eCheck, please see the Electronic Check Progress Diagram and the eCheck Operating Procedures and User Guide(PDF).

By completing this application, I confirm that I am authorized to submit this application and enter into the agreements linked below on behalf of business indicated.

Tell us about yourself

Owner Name:

Email Address:

Mobile:

Owner Address:

United States of America Canada

--State-- AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

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:

Total of Ownership Percentage cannot exceed 100%

%

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.

Owner 2

Remove

Name:

Email Address:

Mobile:

Owner Address:

United States of America Canada

--State-- AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

Date of Birth:

Identification:

SSN Passport

United States of America Canada

In lieu of a Social Security Number, Foreign Persons must provide a Passport Number.

Job Title:

 

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

Ownership Percentage:

Total of Ownership Percentage cannot exceed 100%

%

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.

Owner 3

Remove

Name:

Email Address:

Mobile:

Owner Address:

United States of America Canada

--State-- AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

Date of Birth:

Identification:

SSN Passport

United States of America Canada

In lieu of a Social Security Number, Foreign Persons must provide a Passport Number.

Job Title:

 

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

Ownership Percentage:

Total of Ownership Percentage cannot exceed 100%

%

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.

Owner 4

Remove

Name:

Email Address:

Mobile:

Owner Address:

United States of America Canada

--State-- AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

Date of Birth:

Identification:

SSN Passport

United States of America Canada

In lieu of a Social Security Number, Foreign Persons must provide a Passport Number.

Job Title:

 

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

Ownership Percentage:

Total of Ownership Percentage cannot exceed 100%

%

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

Business name and location

Legal Business Name:

Doing Business As:

Same As Legal Business Name

The Doing Business As is the name that consumers will see on their credit card bill and is the legal name that refers to your business.

Business Type:

-- Select Business Type -- Sole Proprietorship Partnership Corporation or LLC Non-Profit Trust

Tax ID:

Business Start Date:

Website URL:

Phone:

Business Address:

Same as home address

United States of America Canada

--State-- AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

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.

Clear | Cancel Change

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.

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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:

{{255 - BusinessDescription.length}} characters remaining

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Payments, delivery, and sales

Some content here on why we need to capture this information

When is the Customer Charged?:

-- Select when you charge -- One Time Before Service Delivery One Time After Service Delivery Other

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:

-- Select when you deliver -- Instantly over the internet 0-2 Days 3 to 5 Days 6 to 10 Days Greater than 10

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.

Owner's Date of Birth:

Owner's SSN:

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:

-- Select Account Owner Type -- Personal Business

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

United States of America Canada

--State-- AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

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

X

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.

 

Account creation in progress

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Create your Authorize.net Account

Security Code

Update Code

Enter Security Code:

Security Code did not match. Please try again.

Usernames must:

	not contain Password

Passwords must:

	not contain Username

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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

$0.10

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

$0.10

eCheck

The fee charged by Authorize.net for each chargeback received for an eCheck transaction.

eCheck Chargeback

$25.00

The fee charged for each returned item received for an eCheck transaction.

eCheck Returned Item

$3.00

The minimum monthly eCheck service fee charged by Authorize.net, in the event that it is not exceeded by transaction processing fees, for the month.

eCheck Minimum Monthly

$10.00

The percentage fee of each eCheck charge transaction processed through a merchant's account.

eCheck Discount Rate

0.75 %

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