New Order Application

This form provides us the information necessary to submit an application for your signature. A Pair Payments team member will contact you prior to sending you the application to review and discuss your order. Thank for choosing Pair Payments as your business partner!

Step 1 of 2

  • Business Information

  • Please list all owners/partners in the business with a 25% share or greater. List the Managing Partner first. Click the plus sign () at the end of the row to add additional owners.
    Owner NameHome Street AddressCityStateZIPEmail AddressSocial Security NumberBirth DatePrimary Telephone 
  • Please upload an image of the business owner(s) driver's license(s). Up to 4 images can be uploaded.