Broker Application

Fill out the form below to start your Broker partner application. One of our Broker relations managers will reach out to you shortly to finish your application.
Important Notice

  • Please note upon submission of your form, our team will review your application to determine your fitness and eligibility as a partner. If we see the partnership meets our criteria, one of our Partner Onboarding representatives will be in touch with the next steps. If you do not hear from our team, we will keep your application in the queue for future consideration.
  • The partner experience is the product at Greenbox Capital, and we seek to maintain this service above all, building meaningful relationships.

    All fields marked by an asterisk (*) are mandatory.

    Company Information

    Owner(s) Information

    (Total ownership must equal to 100%)

    Qualification Questions

    If yes, What percentage is from a 3rd party? *

    What percentage of deals do you fund vs broker out? *

    How much? *

    By signing and faxing or emailing in this application to Merchant Capital Group LLC d/b/a Greenbox Capital (“Greenbox Capital”) you certify that all information provided in the Application and all other supporting documents provided to Greenbox Capital is true and complete in all respects and any dishonesty, incorrect and/or incomplete information will disqualify the Company from consideration for participation in Greenbox Capital’s ISO Partnership program. You understand and permit Greenbox Capital, and our agents and assignees, to contact third parties to make all relevant inquiries for the evaluation of your application, including, without limitation, completing a criminal background check, requesting business and personal credit bureau reports from credit reporting agencies and other sources, or for any update, renewal or other lawful purpose. Upon your request, we will advise you if we obtained a credit report and will give you the credit bureau's name, address, and report.

    Please review your information. Once you submit your application, your entries can’t be updated.