RetryHub — US Merchant Account Application

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Applicant Information

First Name*

Last Name*

Date of Birth*

US Citizen?*

Yes No

SSN# or TIN#*

🔒 Encrypted and secure

Driver's License or Passport #*

Street Address*

Apt / Unit / Lot No.

City*

State*

Zip Code*

Phone Number*

Mobile Number

Email (to receive/sign application)*

Telegram (Recommended but optional)

Customer Service Phone #

Customer Service Email

Business Information

Legal Business Name*

DBA Name

Federal TAX ID (EIN#)*

Business Type*

Website URL*

Sales Method*

Average Ticket ($)*

Monthly Volume ($)*

Banking Information

Name on Bank Account*

Bank Name*

Bank Phone #

Routing #*

Checking Account #*

🔒 Encrypted and secure

Business Questionnaire

Description of Product/Service Sold*

Return / Cancellation / Refund Policy*

Top Country for Sales*

% of Non-US Sales

% Sales to Consumers

% Sales to Businesses

Where is Product Stored/Fulfilled From?

When Does Customer Pay?

Average Delay Until Shipped After Sale

Previous Processing History?*

Yes No

Recurring Transactions / Auto-Renewals?*

Yes No

Have You Applied Elsewhere? If Yes, Where?

How Many Merchant Accounts Do You Need?

Which Gateway Do You Want?

How Did You Hear About RetryHub?

Additional Information / Notes

📋 Important Next Steps After Submitting

After you submit, we will email you a secure upload link for the documents below. The list updates as you complete the form.

Void Check or Bank Letter
Passport or Driver's License
Articles of Incorporation
Website compliance screenshots or notes

Or message us directly on Telegram @RetryHubBot

✅

Application Received!

Thank you. You will be contacted with next steps and/or offers within 24 hours. Questions? Email help@retryhub.com.

Important Next Steps:

Check your email for the secure document upload link
Upload a Void Check or Bank Letter
Upload your Passport or Driver's License
Upload your Articles of Incorporation and any conditional documents listed

US Merchant Account Pre-Application

📋 Important Next Steps After Submitting

Application Received!

Important Next Steps: