Merchant Onboarding Form Multiple W9s

How many locations do you have?(Required)

Note: To use this form, you must have more than 1 location. If you have only 1 location, please use our Self Signup Form.

Do all locations fall under the same W9 legal description?

Yes

No

Location Information

Please Read and Accept Our Terms & Conditions and Privacy Policy(Required)

I have read and accept the Business Partner Program Terms and Conditions.

I have read and accept the The Blackhawk Consumer Privacy Policy.

W9 Name(Required)

W9 Federal Tax Classification(Required)

W9 Street Address(Required)

W9 City(Required)

W9 State(Required)

W9 Zip(Required)

Social Security Number(Required)

Please enter a number greater than or equal to 9.

EIN Number(Required)

Please enter a number greater than or equal to 9.

Location 1 Name(Required)

Location 1 Phone(Required)

Location 1 Email(Required)

Location 1 Website

This field is hidden when viewing the form

Location 1 Country Code

Location 1 Address Line 1(Required)

Location 1 Address Line 2

Location 1 City(Required)

Location 1 State(Required)

Location 1 Zip Code(Required)

W9 Name – Location 1(Required)

W9 Federal Tax Classification – Location 1(Required)

W9 Street Address – Location 1(Required)

W9 City – Location 1(Required)

W9 State – Location 1(Required)

W9 Zip – Location 1(Required)

Social Security Number – Location 1(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 1(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 2 Name(Required)

Location 2 Phone(Required)

Location 2 Email(Required)

Location 2 Website

This field is hidden when viewing the form

Location 2 Country Code

Location 2 Address Line 1(Required)

Location 2 Address Line 2

Location 2 City(Required)

Location 2 State(Required)

Location 2 Zip Code(Required)

W9 Name – Location 2(Required)

W9 Federal Tax Classification – Location 2(Required)

W9 Street Address – Location 2(Required)

W9 City – Location 2(Required)

W9 State – Location 2(Required)

W9 Zip – Location 2(Required)

Social Security Number – Location 2(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 2(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 3 Name(Required)

Location 3 Phone(Required)

Location 3 Email(Required)

Location 3 Website

This field is hidden when viewing the form

Location 3 Country Code

Location 3 Address Line 1(Required)

Location 3 Address Line 2

Location 3 City(Required)

Location 3 State(Required)

Location 3 Zip Code(Required)

W9 Name – Location 3(Required)

W9 Federal Tax Classification – Location 3(Required)

W9 Street Address – Location 3(Required)

W9 City – Location 3(Required)

W9 State – Location 3(Required)

W9 Zip – Location 3(Required)

Social Security Number – Location 3(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 3(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 4 Name(Required)

Location 4 Phone(Required)

Location 4 Email(Required)

Location 4 Website

This field is hidden when viewing the form

Location 4 Country Code

Location 4 Address Line 1(Required)

Location 4 Address Line 2

Location 4 City(Required)

Location 4 State(Required)

Location 4 Zip Code(Required)

W9 Name – Location 4(Required)

W9 Federal Tax Classification – Location 4(Required)

W9 Street Address – Location 4(Required)

W9 City – Location 4(Required)

W9 State – Location 4(Required)

W9 Zip – Location 4(Required)

Social Security Number – Location 4(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 4(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 5 Name(Required)

Location 5 Phone(Required)

Location 5 Email(Required)

Location 5 Website

This field is hidden when viewing the form

Location 5 Country Code

Location 5 Address Line 1(Required)

Location 5 Address Line 2

Location 5 City(Required)

Location 5 State(Required)

Location 5 Zip Code(Required)

W9 Name – Location 5(Required)

W9 Federal Tax Classification – Location 5(Required)

W9 Street Address – Location 5(Required)

W9 City – Location 5(Required)

W9 State – Location 5(Required)

W9 Zip – Location 5(Required)

Social Security Number – Location 5(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 5(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 6 Name(Required)

Location 6 Phone(Required)

Location 6 Email(Required)

Location 6 Website

This field is hidden when viewing the form

Location 6 Country Code

Location 6 Address Line 1(Required)

Location 6 Address Line 2

Location 6 City(Required)

Location 6 State(Required)

Location 6 Zip Code(Required)

W9 Name – Location 6(Required)

W9 Federal Tax Classification – Location 6(Required)

W9 Street Address – Location 6(Required)

W9 City – Location 6(Required)

W9 State – Location 6(Required)

W9 Zip – Location 6(Required)

Social Security Number – Location 6(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 6(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 7 Name(Required)

Location 7 Phone(Required)

Location 7 Email(Required)

Location 7 Website

This field is hidden when viewing the form

Location 7 Country Code

Location 7 Address Line 1(Required)

Location 7 Address Line 2

Location 7 City(Required)

Location 7 State(Required)

Location 7 Zip Code(Required)

W9 Name – Location 7(Required)

W9 Federal Tax Classification – Location 7(Required)

W9 Street Address – Location 7(Required)

W9 City – Location 7(Required)

W9 State – Location 7(Required)

W9 Zip – Location 7(Required)

Social Security Number – Location 7(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 7(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 8 Name(Required)

Location 8 Phone(Required)

Location 8 Email(Required)

Location 8 Website

This field is hidden when viewing the form

Location 8 Country Code

Location 8 Address Line 1(Required)

Location 8 Address Line 2

Location 8 City(Required)

Location 8 State(Required)

Location 8 Zip Code(Required)

W9 Name – Location 8(Required)

W9 Federal Tax Classification – Location 8(Required)

W9 Street Address – Location 8(Required)

W9 City – Location 8(Required)

W9 State – Location 8(Required)

W9 Zip – Location 8(Required)

Social Security Number – Location 8(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 8(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 9 Name(Required)

Location 9 Phone(Required)

Location 9 Email(Required)

Location 9 Website

This field is hidden when viewing the form

Location 9 Country Code

Location 9 Address Line 1(Required)

Location 9 Address Line 2

Location 9 City(Required)

Location 9 State(Required)

Location 9 Zip Code(Required)

W9 Name – Location 9(Required)

W9 Federal Tax Classification – Location 9(Required)

W9 Street Address – Location 9(Required)

W9 City – Location 9(Required)

W9 State – Location 9(Required)

W9 Zip – Location 9(Required)

Social Security Number – Location 9(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 9(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 10 Name(Required)

Location 10 Phone(Required)

Location 10 Email(Required)

Location 10 Website

This field is hidden when viewing the form

Location 10 Country Code

Location 10 Address Line 1(Required)

Location 10 Address Line 2

Location 10 City(Required)

Location 10 State(Required)

Location 10 Zip Code(Required)

W9 Name – Location 10(Required)

W9 Federal Tax Classification – Location 10(Required)

W9 Street Address – Location 10(Required)

W9 City – Location 10(Required)

W9 State – Location 10(Required)

W9 Zip – Location 10(Required)

Social Security Number – Location 10(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 10(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 11 Name(Required)

Location 11 Phone(Required)

Location 11 Email(Required)

Location 11 Website

This field is hidden when viewing the form

Location 11 Country Code

Location 11 Address Line 1(Required)

Location 11 Address Line 2

Location 11 City(Required)

Location 11 State(Required)

Location 11 Zip Code(Required)

W9 Name – Location 11(Required)

W9 Federal Tax Classification – Location 11(Required)

W9 Street Address – Location 11(Required)

W9 City – Location 11(Required)

W9 State – Location 11(Required)

W9 Zip – Location 11(Required)

Social Security Number – Location 11(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 11(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Location 12 Name(Required)

Location 12 Phone(Required)

Location 12 Email(Required)

Location 12 Website

This field is hidden when viewing the form

Location 12 Country Code

Location 12 Address Line 1(Required)

Location 12 Address Line 2

Location 12 City(Required)

Location 12 State(Required)

Location 12 Zip Code(Required)

W9 Name – Location 12(Required)

W9 Federal Tax Classification – Location 12(Required)

W9 Street Address – Location 12(Required)

W9 City – Location 12(Required)

W9 State – Location 12(Required)

W9 Zip – Location 12(Required)

Social Security Number – Location 12(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

EIN Number – Location 12(Required)

Please enter a number greater than or equal to 9.

Please do not use spaces, hyphens, or any other characters other than numbers.

Internal Contact Information

Tell us who to contact to receive reports or to manage administrative issues.

Contact First Name(Required)

Contact Last Name(Required)

Contact Job Title(Required)

Contact Phone(Required)

Contact Email / Login to Merchant Portal(Required)

Merchant Onboarding Form Multiple W9s

Multi-Merchant Onboarding (1)

Location Information

Internal Contact Information