MyUSACorporation Merchant Services                      Powered by Slice 
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Applicant's First Name *
Applicant's Last Name *
Email address *

Best contact number (XXX-XXX-XXXX):

*

Type of new entity ownership:

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Description of products and services sold for new business entity:

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Have you ever accepted credit cards under a business entity in the past?

*

Do you reside in the US?

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Do you have a US Social Security Number?

*

Do you have an ITIN?

*
Do you have a US Business Address? *

Do you have a US based business bank account under the new business entity?

*

What is the best time for a Slice Merchant Services consultant to contact you?

*

How do you prefer to be contacted?

*
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