The Vault App

Client application

Complete the following form to apply for a Vault App Client Account

First Name

Last Name

Legal Business Name

Legal DBA

Store Name

Website URL

Business City

Business State or Province

Business Country

Andorra
United Arab Emirates
Afghanistan
Antigua and Barbuda
Anguilla
Albania
Armenia
Netherlands Antilles
Angola
Antarctica
Argentina
American Samoa
Austria
Australia
Aruba
Azerbaijan
Bosnia and Herzegovina
Barbados
Bangladesh
Belgium
Burkina Faso
Bulgaria
Bahrain
Burundi
Benin
Bermuda
Brunei
Bolivia
Brazil
Bahamas
Bhutan
Bouvet Island
Botswana
Belarus
Belize
Canada
Cocos [Keeling] Islands
Congo [DRC]
Central African Republic
Congo [Republic]
Switzerland
Côte d'Ivoire
Cook Islands
Chile
Cameroon
China
Colombia
Costa Rica
Cuba
Cape Verde
Christmas Island
Cyprus
Czech Republic
Germany
Djibouti
Denmark
Dominica
Dominican Republic
Algeria
Ecuador
Estonia
Egypt
Western Sahara
Eritrea
Spain
Ethiopia
Finland
Fiji
Falkland Islands [Islas Malvinas]
Micronesia
Faroe Islands
France
Gabon
United Kingdom
Grenada
Georgia
French Guiana
Guernsey
Ghana
Gibraltar
Greenland
Gambia
Guinea
Guadeloupe
Equatorial Guinea
Greece
South Georgia and the South Sandwich Islands
Guatemala
Guam
Guinea-Bissau
Guyana
Gaza Strip
Hong Kong
Heard Island and McDonald Islands
Honduras
Croatia
Haiti
Hungary
Indonesia
Ireland
Israel
Isle of Man
India
British Indian Ocean Territory
Iraq
Iran
Iceland
Italy
Jersey
Jamaica
Jordan
Japan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Comoros
Saint Kitts and Nevis
North Korea
South Korea
Kuwait
Cayman Islands
Kazakhstan
Laos
Lebanon
Saint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Lithuania
Luxembourg
Latvia
Libya
Morocco
Monaco
Moldova
Montenegro
Madagascar
Marshall Islands
Macedonia [FYROM]
Mali
Myanmar [Burma]
Mongolia
Macau
Northern Mariana Islands
Martinique
Mauritania
Montserrat
Malta
Mauritius
Maldives
Malawi
Mexico
Malaysia
Mozambique
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Netherlands
Norway
Nepal
Nauru
Niue
New Zealand
Oman
Panama
Peru
French Polynesia
Papua New Guinea
Philippines
Pakistan
Poland
Saint Pierre and Miquelon
Pitcairn Islands
Puerto Rico
Palestinian Territories
Portugal
Palau
Paraguay
Qatar
Réunion
Romania
Serbia
Russia
Rwanda
Saudi Arabia
Solomon Islands
Seychelles
Sudan
Sweden
Singapore
Saint Helena
Slovenia
Svalbard and Jan Mayen
Slovakia
Sierra Leone
San Marino
Senegal
Somalia
Suriname
São Tomé and Príncipe
El Salvador
Syria
Swaziland
Turks and Caicos Islands
Chad
French Southern Territories
Togo
Thailand
Tajikistan
Tokelau
Timor-Leste
Turkmenistan
Tunisia
Tonga
Turkey
Trinidad and Tobago
Tuvalu
Taiwan
Tanzania
Ukraine
Uganda
U.S. Minor Outlying Islands
United States
Uruguay
Uzbekistan
Vatican City
Saint Vincent and the Grenadines
Venezuela
British Virgin Islands
U.S. Virgin Islands
Vietnam
Vanuatu
Wallis and Futuna
Samoa
Kosovo
Yemen
Mayotte
South Africa
Zambia
Zimbabwe

Are you selling your product to a retail consumer?

Are you selling your product to other businesses?

Will you use The Vault App to pay other businesses?

Sales Representative

How did you hear about The Vault App?

Check all that Apply

Delivery Service

Physical Store Front

Reoccuring Subscription

Online Sales using Vault API

Please list and upload identification for all equity owners owning more than 20% of the entity.

Name

Percentage ownership(%)

UPLOAD FILE

Add Another Owner

Business Documents

Statement Information UPLOAD FILE

Sellers Permit * UPLOAD FILE

Industry Business License * UPLOAD FILE

Previous 30 Days Bank Statement* UPLOAD FILE

Previous 60 Days Bank Statement* UPLOAD FILE

Previous 90 Days Bank Statement* UPLOAD FILE

Company Voided Check* UPLOAD FILE

Miscellaneous UPLOAD FILE

DBA Certification UPLOAD FILE

Company Organization Documents* UPLOAD FILE

Tax Certificate UPLOAD FILE

Submit Application

Please Use Potrait mode!

Client application

Check all that Apply

Please list and upload identification for all equity owners owning more than 20% of the entity.

Business Documents

Message

Please Upload Image.

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