Northwest Plus Credit Union | Merchant Onboard

Individual Completing Application

First Name

Last Name

Cell Phone

Please provide your valid medical license/certification information:

I am not required to maintain a state or local license.

Name of Licensed Medical Professional(s)

License/Certification Number

Name of Medical/Certification Board

Expiration Date (If Applicable)

Please provide your state or local contractor’s license number (if applicable):

I am not required to maintain a state or local contractor’s license for my trade.

State or Local License Number

Expiration Date (If Applicable)

Billing Address (No PO Boxes)

Address 1

Address 2

City

Zip

Mailing Address Same as Billing address

Address 1

Address 2

City

Zip

Principal/Owner Information

I am an owner/principal

First Name

Last Name

Email Address

Phone Number

Ownership Start Date

Social Security Number

Ownership %

Date of Birth (mm/dd/yyyy)

Residential Address

Address 1

Address 2

City

Zip

Please upload additional documents (skipping this step will delay approval)

Voided Check

A voided check is required to set up direct payments to your bank account.

Browse

File must be less than 3 MB.
Allowed file types: gif png jpeg pdf.

Customer Sales Agreement

A copy of your sales agreement expedites the servicing of consumer applications.

Browse

File must be less than 3 MB.
Allowed file types: gif png jpeg pdf.

By checking the box below you verify that you have read and agree to the Merchant Agreement and Disclosures.

I authorize FinMkt, DBA CU DigiLend, to verify or obtain further information as it may deem necessary concerning the entity and its Partners and Owners, including the use of credit reporting agencies.

I certify that all the information is true and accurate to the best of my knowledge.
By submitting this application, I certify that I have read and agree to the Merchant Agreement and Disclosures.

By checking the box below you verify that you have read and agree to the Merchant Agreement and Disclosures.

I certify that all the information is true and accurate to the best of my knowledge.
By submitting this application, I certify that I have read and agree to the Merchant Agreement and Disclosures.

Start Growing Your Business Today

Provide a few quick details below to get started!

Before You Apply

Individual Completing Application

Company Information

Please provide your valid medical license/certification information:

Please provide your state or local contractor’s license number (if applicable):

Billing Address (No PO Boxes)

Mailing Address Same as Billing address

Principal/Owner Information

Residential Address

Please upload additional documents (skipping this step will delay approval)

Voided Check

A voided check is required to set up direct payments to your bank account.

File must be less than 3 MB.
Allowed file types: gif png jpeg pdf.

Customer Sales Agreement

A copy of your sales agreement expedites the servicing of consumer applications.

File must be less than 3 MB.
Allowed file types: gif png jpeg pdf.

Please upload additional documents (skipping this step will delay approval)

Voided Check

A voided check is required to set up direct payments to your bank account.

File must be less than 3 MB.Allowed file types: gif png jpeg pdf.

Customer Sales Agreement

A copy of your sales agreement expedites the servicing of consumer applications.

File must be less than 3 MB.Allowed file types: gif png jpeg pdf.

File must be less than 3 MB.
Allowed file types: gif png jpeg pdf.

File must be less than 3 MB.
Allowed file types: gif png jpeg pdf.