SUBMIT PRE-APPLICATION INFORMATION

Please complete the form below to securely send your information and we will generate an application which will be emailed to you for review and e-signature. *Please note that this Pre-Application is for informational purposes only. It is in no way a binding legal agreement. You will be sent a final application for review and e-signature.
BUSINESS ENTITY
If your information will not submit, please scroll up and review for errors.
* Prior to recieving your final application, we will need you to email (info@connectpaytech.com) or fax (973) 695-1900 copies of a voided check for the busiiness account you would like your funds deposited into, as well as a copy of your Federal EIN letter.