Contact Information

Initial info to start application

Business Information

Describe your business

Business Address

Where is your business located

Owner Information

Who owns the business

Fulfillment Information

Describe your fulfillment

Customer Sales Metrics

How do you sell?

Support Documents

Upload supporting docs

Welcome to ScaledPay!

We're excited to help your business start accepting credit cards quickly. This simple application will ask for:

Business location & contact information
Owner information

Contact Information

First Name*

Last Name*

Email*

Phone

Business Information

Introduce us to your business and what you offer.

Legal Name of Business*

If you don't have an LLC yet, enter your full personal name here.

DBA Name

Business Description*

Company Industry*

Company Open Date*

Company Ownership*

If no company put Sole Proprietorship.

Business Address

Tell us where your business is located.

Country*

Zip / Postal Code*

Street Address*

Apt, Suite, etc. (optional)

City*

State*

Owner Information

We need to know who owns your business.

Number of Owners

1 2 3 4

Any owners with 25% ownership or more are required.

Owner 1 Information

First Name*

Last Name*

Title*

Ownership Percent*

Social Security Number*

Date of Birth*

Must be at least 18 years old.

Email*

Owner 1 Address

Country*

Zip Code*

Street Address*

Apt, Suite, etc. (optional)

City*

State*

Owner 1 Identification

Driver's License Number*

Expiration Date*

State*

Driver's License - Front*

JPG, PNG, HEIC or PDF up to 10MB.

Driver's License - Back*

JPG, PNG, HEIC or PDF up to 10MB.

Owner 2 Information

First Name*

Last Name*

Title*

Ownership Percent*

Social Security Number*

Date of Birth*

Email*

Owner 3 Information

First Name*

Last Name*

Title*

Ownership Percent*

Social Security Number*

Date of Birth*

Email*

Owner 4 Information

First Name*

Last Name*

Title*

Ownership Percent*

Social Security Number*

Date of Birth*

Email*

Fulfillment Information

Describe how you fulfill customer orders.

How do you fulfill orders?*

Average Fulfillment Time (days)*

Primary Shipping Carriers

Additional Fulfillment Details

Customer Sales Metrics

Tell us about your volumes and how you process payments.

Expected Processing Volumes

Monthly Volume*

Estimate your monthly sales.

Average Transaction*

Estimate how much your average customer spends.

Max Transaction*

Estimate your biggest expected transaction.

Bankruptcy History*

Estimated Credit Score*

Your business currently accepts credit cards You have been terminated from processing before

How You Take Payments

Online / Ecommerce Swiped Manually keyed / invoices

Customer Service Information

Website (optional)

Customer Service Phone Number

Customer Service Email

Supporting Documents

This section is optional, but submitting applicable documents will help fast-track your application's approval.

Document List

Upload each document that applies to your business.

Three Months Bank Statements* Required – upload a single file or a combined PDF.

Three Months Processing Statements (optional) Optional – upload a single file or a combined PDF.

EIN Letter (optional)