Signup Form Definitions
- Rachel Henin (Unlicensed)
- Miles Graves
- Elizabeth Fehl (Deactivated)
Overview: This Implementations resource outlines boarding form fields in a chart with descriptions, data types, and examples of each field.
Field Name | Description | Data Type | Example |
|---|---|---|---|
ACCOUNT NUMBER | Account number for business bank account | String up to 20 characters | 1234567890 |
ACCOUNT PRIMARY | Indicates whether the Account is the 'primary' Account for the associated Entity. Only one Account associated with each Entity can be the 'primary' Account. | 0 - Not primary 1 - Primary | 1 |
ACCOUNT ROUTING | Routing number for the business bank account | String of 9 numbers | 21000021 |
ACCOUNT TYPE | Business bank account type | 8: Checking 9: Savings 10: Corporate Checking 11: Corporate Savings | 10 |
ENTITY ADDRESS 1 | Business address as filed with the IRS | String Between 1 and 1000 character | 123 Main Street |
ENTITY ADDRESS 2 | Second line of the business address as filed with the IRS | String Between 0 and 500 character | Suite 100 |
ENTITY CITY | Business city as filed with the IRS | String Between 0 and 500 character | New York |
ENTITY CUSTOMER PHONE | Business customer service phone number | Either empty or a string of 9 numbers | 7185556666 |
ENTITY TIN | Federal Tax Identification Number | String of 9 numbers | 123456789 |
ENTITY TIN TYPE | Indicates if the TIN being used is an EIN, SSN or "other/unknown" number. | 1 = SSN 2 = EIN 3 = Other (default) |
|
ENTITY EMAIL | Business email address | Valid email address up to 100 characters | |
ENTITY IRS FILING NM | IRS Legal Filling Name IRS Filling Name is required if the Business Legal Name provided is greater than 24 characters. Must match what was provided to IRS. | String Between 1 - 40 character | Business Incorporated LLC |
ENTITY NAME | Legal Business Name | String Between 1 and 1000 character | Business LLC |
ENTITY PHONE | Business phone number | String of 10 numbers | 7185555555 |
ENTITY PUBLIC | Is this company a publicly owned | If the ENTITY TYPE is not 1 or 2, leave blank. If it is: 0: It is not public | 0 |
ENTITY STATE | Business state as filed with the IRS | The state's 2 character postal abbreviation | NY |
ENTITY TC DATE | Timestamp when Payrix T&C was accepted | Sting with 12 numbers following the YYYYMMDDHHII format | 202101011200 |
ENTITY TC IP | IP address of user that accepted Payrix T&C | Valid IP address | 123.12.12.123 |
ENTITY TC VERSION | Version of Payrix T&C accepted | Sting between 1 and 20 characters | FifthThird3.2 |
ENTITY TYPE | Legal Business Type (e.g. LLC) | 0: Sole Proprietor 1: Corporation 2: Limited Liability Company 3: Partnership 5: Non-Profit Organization 6: Government Organization | 2 |
ENTITY WEBSITE | Business website | Valid web address (include http(s)://) up to 500 characters | |
ENTITY ZIP | Business zip code as filed with the IRS | String of numbers that have either 5 or 9 characters | 12345 |
MEMBER ADDRESS 1 | Address of the primary member | String Between 1 and 1000 character | 123 Main Street |
MEMBER ADDRESS 2 | Second line of the business address of the primary member | String Between 0 and 500 character | Suite 100 |
MEMBER CITIZENSHIP | The primary country where member has citizenship. Please use the 3-letter ISO code for the country . | 3-letter ISO code for the country | USA |
MEMBER CITY | City of the primary member | String Between 0 and 500 character | New York |
MEMBER COUNTRY | Country of the primary member | The countries 3 character abbreviation. | USA |
MEMBER DOB | Date of birth of the primary member | Sting with 8 numbers following the YYYYMMDD format |
|
MEMBER EMAIL | Email of the primary member |
| name@company.com |
MEMBER FIRST | First name of the primary member | String between 1 and 100 characters | John |
MEMBER LAST | Last name of the primary member | String between 1 and 100 characters | Smith |
MEMBER OWNERSHIP | Percentage of the business owned by the primary member | Number expressed in basis points | 7500 |
MEMBER PHONE | Email address of the primary member | Valid email address up to 100 characters | |
MEMBER POLITICALLY EXPOSED | Is the primary member politically exposed |
| 0 |
MEMBER PRIMARY | Indicates whether the Member is the 'primary' contact for the associated Merchant. Only one Member associated with each Merchant can be the 'primary' Member. |
| 1 |
MEMBER SIGNIFICANT RESPONSIBILITY | Is the member an individual with significant responsibility for managing the merchant account such as an executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President, Treasurer, or any other individual who regularly performs similar functions). |
| 1 |
MEMBER SSN | Social security number of the primary member | String of 9 numbers | 123456789 |
MEMBER STATE | State of the primary member | The state's 2 character postal abbreviation | NY |
MEMBER TITLE | Relationship of the primary member to the company | String between 1 and 100 characters | CEO |
MEMBER ZIP | Zip code of the primary member | String of numbers that have either 5 or 9 characters | 12345 |
MERCHANT ADVANCED BILLING INDICATOR | Indicates whether the merchant accepts pre-purchase for products that are shipped at a later date or not currently available. | 1: Yes 0: No | 0 |
MERCHANT AMEX VOLUME | Indicates the annual AMEX sale volume for the merchant location. | If MERCHANT NEW is 1, leave it as zero. If it is 0, specified as an integer in cents. For example, $25.30 is expressed as '2530'. | 100000000 |
MERCHANT ANNUAL CC SALES | Total amount of sales processed in the prior year | If MERCHANT NEW is 1, leave blank. If it is 0, specified as an integer in cents. For example, $25.30 is expressed as '2530'. | 100000000 |
MERCHANT AVERAGE CC SALES | Average credit card sale amount in the previous year | If MERCHANT NEW is 1, leave blank. If it is 0, specified as an integer in cents. For example, $25.30 is expressed as '2530'. | 10000 |
MERCHANT DBA | DBA of the business | String between 0 and 50 charters | My Business |
MERCHANT ENVIRONMENT | Type of environment where the merchant will be accepting payments |
| ecommerce |
MERCHANT ESTABLISHED | The date when the business was established | Sting with 8 numbers following the YYYYMMDD format | 19701231 |
MERCHANT LOCATION TYPE | Description of the type of address that the business operates at. | following valid values: 77 = RETAIL STOREFRONT 78 = WAREHOUSE 79 = PRIVATE RESIDENCE 80 = OTHERS 81 = P. RES-PROF/CONSTRUCTION |
|
MERCHANT MCC | MCC to use for this merchant | String of 4 numbers | 8999 |
MERCHANT NDX SHIPPING DAYS | The number of days to ship/deliver the product. | Numeric If the client does not ship a product, the value should be set to 0 If the client submits a value of 8 to 14, submit 14 to the boarding API If the client submits a value of 15 to 30, submit 30 to the boarding API If the client submits a value of anything over 30, submit 31 to the boarding API. |
|
MERCHANT NEW | Is this merchant new to processing Credit Cards | 1: New 0: Not new | 0 |
MERCHANT PERCENT B2B SALES | The merchant percentage of transactions that are Business to Business. | Numeric - 3 characters Max value 100 | 33 |
MERCHANT PERCENT ECOMM TXNS | The merchant percentage of internet originated transactions. | Numeric - 3 characters Max value 100 | 33 |
MERCHANT PERCENT KEYED TXNS | The merchant percentage of transactions that are Card Not Present (Includes MOTO and eCommerce). | Numeric - 3 characters Max value 100 | 33 |
MERCHANT SAQ DATE | Date when SAQ was completed. | Sting with 8 numbers following the YYYYMMDD format | 20210101 |
MERCHANT SAQ QSA | Qualified Security Assessor (QSA) companies are independent security organizations that have been qualified by the PCI Security Standards Council to validate an entity's adherence to PCI DSS. This field marks the name of QSA that validated the SAQ for the merchant. | Sting up to 50 characters | QSA Business Inc. |
MERCHANT SAQ TYPE | A PCI Self-Assessment Questionnaire (PCI SAQ) is a merchant's statement of PCI compliance. This field marks the type of SAQ type completed by the merchant. | SAQ-A SAQ-A-EP SAQ-B SAQ-B-IP SAQ-C-VT SAQ-C SAQ-P2PE-HW SAQ-D | SAQ-A |
MERCHANT TC ATTESTATION | An attestation by the merchant that the information they have provided is correct and accurate to the best of their knowledge. | 1: Yes 0: No Must be set to 1 | 1 |
MERCHANT TOTAL VOLUME | The expected total volume for all credit card and ACH payments that the merchant will process for the current year. | If MERCHANT NEW is 1, leave as zero. If it is 0, specified as an integer in cents. For example, $25.30 is expressed as '2530'. | 10000000 |
MERCHANT VISA DISCLOSURE | Did the user accept the Visa Regulation Disclosure | 1: Yes 0: No Most be set to 1 | 1 |
MERCHANT VISA DISCLOSURE DATE | Timestamp when Visa Regulation Disclosure was accepted | Sting with 12 numbers following the YYYYMMDDHHII format | 202101011200 |
MERCHANT VISA DISCLOSURE IP | IP address of user that accepted Visa Regulation Disclosure | Valid IP address | 123.12.12.123 |
MERCHANTS SEASONAL STATUS | Indicates if the merchant is a seasonal merchant or operates year-round. | 1: Yes 0: No | 1 |