Apply with XRay Payment

Invited by Ralph Herro. A few steps and an e-signature — your info is encrypted. You can save and come back anytime.

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Step 1 of 7

What kind of business is this?

We'll show you exactly what's needed for your type.

Step 2 of 7 · Business

Legal business name * DBA / doing-business-as

Tax ID (EIN) *

Business structure *

Website

Business start date

What do you sell? *

Step 3 of 7 · Location & contact

Business address *

City *

State *

ZIP *

Business phone *

Business email *

Contact name

Contact phone

By providing your phone number, you agree that XRay Payment may contact you by phone, email, and text message about your application and account. Message frequency varies; msg & data rates may apply. Reply STOP to opt out or HELP for help.

Step 4 of 7 · Ownership

List each owner with 25% or more. The first is the primary signer. Your information is encrypted.

Step 5 of 7 · Processing

Est. monthly card volume *

Average sale *

Largest sale *

How do customers pay? (must total 100%) *

In person

Online

Phone / mail

Total: 0%

Refund / return policy

Step 6 of 7 · Your pricing

Your pricing is ready

Ralph Herro has prepared this pricing for your business.

Rates shown are estimates based on the information provided. Final pricing is subject to change based on risk parameters determined during underwriting.

Step 7 of 7 · Banking

Where should we deposit your funds? Bank details are encrypted.

Bank name *

Routing number *

Account number *

I have read and agree to the Terms of Service & End User License Agreement.

🔒 Secure, encrypted application · XRay Payment