Get Started Long Form
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Get Started Long Form

Steps to Getting Started with Webstores Simple

STEP 1: Please provide the requested information in the fields below

(NOTE: Fields marked with an * are REQUIRED. The form will NOT be sent if any REQUIRED Fields are left blank)

STEP 2: After completing the form, Click SUBMIT FORM button

(NOTE: Please be sure you see a Confirmation on the bottom of the page that your form has been sent)

STEP 3: Once we receive your submitted information, we will call you to collect Social Security Number(s) for anyone in your business with 25% or more Ownership

(NOTE: This new regulation is from the U.S. Treasury Department’s Financial Crimes Network (FinCEN) to help support efforts to reduce financial criminal activity. ALL U.S. businesses working with ANY financial institution are now required to comply with this mandate.)

    Fields marked with an * are REQUIRED!

    Contact Name *

    Contact Phone *

    Contact Email Address *

    Business Information

    Legal Name of Business *

    Business Name DBA (Doing Business As) *

    Business Legal or Physical STREET ADDRESS *

    CITY *

    STATE *

    ZIP CODE *

    Business Phone Number *

    Fax Number

    Type of Business (Sole Prop, Corp, LLC, Other)*

    Federal Tax ID # (EIN)

    Business Description

    Month/Year Business Started *

    State Business Incorporated In (if applicable)

    Bank Account (9-digit) Routing # *

    Bank Account # *

    Information of Person Signing Paperwork

    Signer's Full Name *

    Signer's Title *

    Percentage of Signer's Business Ownership *

    Signer's Full Home Address *

    Signer's Home Phone Number *

    Signer's Email Address *

    Signer's Date of Birth *

    FINANCIAL CRIMES ENFORCEMENT NETWORK (FinCEN) REQUIRED INFORMATION * (if applicable)
    Please list and provide the information below for any additional Business Owners (other than Signer above) that have 25% or more ownership of the business.

    Full Name

    % Ownership

    D.O.B.

    Full Home Address
    (Include Street, City, State & Zip)

    Home or Cell #

    PLEASE INDICATE WHICH VERSION OF WEBSTORES SIMPLE YOU WOULD LIKE TO START WITH:

    NOTE: For Security Purposes, we will call to collect all applicable Soc. Sec. #’s via telephone.
    Please Feel Free to Call Us at 732-782-9100 or Call your Sales Representative if you have any questions.

    How did you hear about us?