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Business Information





If different from legal name







If your account will be enabled with Texting options, this will be the area code sent with number to message recipient.


LLC, Inc., Sole Proprietor, etc.

If you do not have a website for your business, please include a URL that references your Business.


BUSINESS OWNER 1 (Or Authorized Signer) INFORMATION




mm/dd/yyyy







mm/dd/yyyy

mm/dd/yyyy

BUSINESS OWNER 2 INFORMATION (If ownership is 25% or greater)




mm/dd/yyyy







mm/dd/yyyy

mm/dd/yyyy

BUSINESS OWNER 3 INFORMATION (If ownership is 25% or greater)




mm/dd/yyyy







mm/dd/yyyy

mm/dd/yyyy

BUSINESS OWNER 4 INFORMATION (If ownership is 25% or greater)




mm/dd/yyyy







mm/dd/yyyy

mm/dd/yyyy

Bank Account Information


9 Digit number on your checks




Exhibit A - Pricing Schedule

Software & Merchant Services Monthly Fees: 

  • 3.20% Flat Rate Fee on All Transaction Volume
  • $0.25 Per Transaction Fee
  • $30.00 Monthly Minimum Fee (only charged if monthly processing fees are less than $30.00)
One Time Fees (if applicable): 
  • $15.00 ACH Return Fee Per Return
  • $35.00 Chargeback and Retrieval Fee Per Instance
  • $25.00 PCI Non Reporting Fee Per Instance

SwervePay is a Level 1 PCI Certified provider and is recognized as such on Visa's website (https://www.visa.com/splisting/). SwervePay is also a Registered Payment Facilitator and recognized as such on MasterCard's website (https://www.mastercard.us/en-us/merchant/start-accepting/payment-facilitators.html).
Customer Service Contact Information

Owner Home Phone Number

Primary User Initial Setup
This will be the initial user that will receive the SwervePay login information. 



Signer Information
This will be the initial user that will receive the SwervePay login information.