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Individual Completing Application

Company Information

Please select your program.

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Billing Address (No PO Boxes)

Mailing Address

Principal/Owner Information


Residential Address

Please upload additional documents (skipping this step will delay approval)


Voided Check

A voided check is required to set up direct payments to your bank account.

File must be less than 3 MB.
Allowed file types: gif png jpeg pdf.


Customer Sales Agreement

A copy of your sales agreement expedites the servicing of consumer applications.

File must be less than 3 MB.
Allowed file types: gif png jpeg pdf.


By checking the box below you verify that you have read and agree to the Merchant Agreement and Disclosures. and the Credit Card Program Agreement - Dealer Terms.

I authorize Platform Administrator and TD Bank, N.A. to verify or obtain further information as it may deem necessary concerning the entity and its Partners and Owners, including the use of credit reporting agencies.