Welcome!

Thank you for picking Mansfield Payments as your processing partner.

The purpose of this form is to pre-gather information for the merchant application. This process helps prevent application errors and delays in underwritting due to missing or incomplete data.

Once complete, we will email you the completed filled out application for your signature.

Information stored here is fully encrypted both in-transit and stored at rest. Your information will be auto purge when no longer needed.

If you have any questions, please reach out.