Download form from link at the bottom of the page
All information fields are required to be filed out
Email completed form to [email protected] with voided check or bank letter
The request for a bank change will not be effective until the required documents are provided
IMPORTANT: if the merchant name is on the check is different than the current name on the merchant
Account, the request will not be processed without a completed business name change form. Be
Advise we may need to contact you for verification prior to approval. Please contact National Processing
At 800-720-3323 or via email [email protected] for a copy of this form.