Stripe Account Setup Information Form | WholeSum Agency in Bend Oregon

About You

Main Contact*

First Last

Your Email*

Birth Date*

Last 4 of SSN*

Home Address

Street Address City State ZIP Code

Your Product

Tell us about your Business*

Account Details

Business Name (Legal Entity)*

Your Business Type*

Individual/Sole Proprietorship
Corporation
LLC
Non-profit
Partnership

EIN (Tax ID)*

If you use your SSN for tax purposes, you can enter that here.

Business Address*

Street Address Address Line 2 City State ZIP Code

Credit Card Statement Details

Your business name and phone number will appear on your customers' credit card statements. Don't worry, you can change this information later.

Business Name*

The name for your business that your customers will recognize. This may be the legal entity name, or a "Doing Business As" (DBA), assumed business name, trade name, or trade style.

Phone*

Bank Details

You can accept USD.

Routing Number*

Account Number*

Confirm Account Number*

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