We’re on to MMJ Processing Step 2!

We have found a processor for you! Approval will still require underwriting and additional documentation. After you complete this form your agent will send you a unique secure link to upload the required documentation needed to submit to underwriting. This information will be entered on the completed merchant application with the rates and fees. That will be provided after all needed documents are submitted. If you do not have those docs ready please do not submit this form until you are ready. This application is on a secure 256 bit encryption page for your security.

*If you are not working with a direct PayHouse Advisor please put "PayHouse Direct".
*If different than Legal Business Name.
If you have multiple websites separate by commas.
Enter your TIN used to pay your taxes.
*Check all that applies.
(ex. 03-13-1969)
*This is require to verify proof of identity. (ex. 333-33-3333)
*Abbreviate state (ex. IL, FL, CA, etc...)
In some cases some banks may not be accepted into our program due to restrictions on the banking networks policies.
Your agent will send you a secure upload link to submit all required documents within 24 hrs of submission.
Our website uses a secure SSL 256 bit encryption to protect your data. We do not sell or share your information with unrelated third parties. We will never spam you. This is for internal purposes only.