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All applications must have the following:
•  Merchant information
•  Ownership information as specified (reference table for criteria)
•  DDA (Banking account information)
•  Marketing: Avg.Monthly Vol. & Avg. Ticket/Sales Amount
•  Monthly Fee Schedule Initial
•  Authorizations and Presentations (reference table for criteria)
•  Personal Guarantor (reference table for criteria)

Questions? reg@fdis-il.com
call 877.595.5252
fax 312.225.5858

  
Please Select your type of business from the list below for Merchant Application guide:
 
 
Non-Profit
(Associations, Faith-based Organizations)
Merchant Info.
All info needed
All info needed
All info needed
All info needed
All info needed
All info needed
Ownership
100% ownership
required
100% ownership
required
51% ownership
required
Name of designated authorized officer (CEO, CFO, etc)
Name of designated authorized officer
Name of designated authorized officer
DDA
All info including telephone # and bank contact
Same
Same
Same
Same
Same
Marketing
“Average Combined Monthly Volume” &
“Average Ticket/Sales Amount”
Same
Same
Same
Same
Same
Monthly Fee Sched.
Initials of principal/owner
Same
Same
Same
Same
Same
Authoriz. /
Represent.
Signature of principal/owner
Signature(s) w/ title ofPartner(s)
Signature(s) w/ title of authorized representative(s)
Signature(s) w/ title of authorized representative(s)
Signature(s) w/ title of authorized representative(s)
Signature(s) w/ title of authorized representative(s)
Personal Guarantor
Signature(s) w/o title of personal guarantor(s)
Signature(s) w/o title of personal guarantor(s)
Signature(s) w/o title of personal guarantor(s)
N/A
N/A
N/A
Other Criteria
Voided Check
Same
Same
Same
Same
Same
Additional Documents
N/A
N/A
Articles of Incorporation/ Organization
Articles of Incorporation
501c or IRS Confirmation of Non-Profit Status
CSI Form “A”
 
 
All applicants must complete Merchant Information as completely as possible on first page of application. See guidelines specified on Regonline application. Merchant URL must be inserted where requested for underwriting review.
 
 
   
             

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The First Data Independent Sales agent program is operated by Cardservice International, Inc. Cardservice International is a registered ISO/MSP for the following FDIC-insured banks: First Financial Bank, Englewood, CO; Wells Fargo Bank, N.A., Walnut Creek, CA. American Express® and Discover® require separate approval.
FDIS Illinois States is an Independent Agent Office of Cardservice International.