Payment Solution Questionnaire

The information below is needed to set up a merchant processing account for your business.  Filling out the form should take less than 6 minutes.

*All Data is encrypted with AES-256 bank/military-grade database storage encryption

Step 1 of 3

  • Business Information

  • Date Format: MM slash DD slash YYYY

If you have any questions or ever need to reach us, feel free to give us a call at 205-332-3728 or email our support email at support@dotedison.com.