Welcome To Patriot Payments!

We're excited to have you join the Patriot Payments team!

This onboarding form is designed to gather the information we need to complete your agent profile and prepare you for success.

Please complete all required fields as accurately as possible. The information you provide will be used to set up your account, process payments, and ensure a smooth onboarding experience.

Once you've completed and submitted the form, our team will review your information and reach out if anything additional is needed.

Thank you for choosing Patriot Payments. We're thrilled to welcome you to the team and look forward to growing together!

First Name *

Last Name

Email *

Phone *

Go to: https://www.irs.gov/pub/irs-pdf/fw9.pdf to complete your W9, then upload it below.

Please upload your completed W9

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

We will submit your payment via direct deposit. Please attach a voided check below. (or a screenshot from your bank app that shows the checking and routing number you'd like us to use).

Please attach a voided check.

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

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By checking the box, you are agreeing to receive occasional text messages and email follow-ups from Patriots Payments. Message and data rates may apply. Message frequency varies.