Client Information Form | Peel Payments

Please enter the appropriate information in the provided sections below. Click on each section to view entries.
Once completed, click “Submit” and your information will be sent to Peel Payments and we will be in contact with you regarding next steps.

Business Information

Legal Name *

First/Last

DBA Name *

Address *

Address

City

State/Province

Zip/Postal

Business Phone *

Fax Number

Billing Address (if different)

City

State/Province

Zip/Postal

Federal Tax ID *

Month/Year Started *

Annual card Volume ($$$)

Equipment information

Signor Information

Special Entitlements

Banking Information

Comments