Gulf Management Systems, Inc.

Your partner for fast, affordable electronic payment solutions.

Client Profile Sheet - High Risk

Company Information

All information is required for processing approval

Legal Name

DBA Name

Business Telephone Number

Fax Number

Federal Tax ID (no dashes)

Date Business Began

Business Info

Street Address

City

State

Zip Code

Website Address

Legal Info

Legal Address

City

State

Zip Code

Principal Owner

Title

First Name

Last Name

Home Address

City

State

Zip Code

Owners Date of Birth

Owner's SSN

Home/Cell Telephone #

AVERAGE Per Sale/Ticket Amount

HIGHEST Per Sale/Ticket Amount

MONTHLY Total Sales Estimate

Business Primary Contact

First Name

Last Name

Direct/Cell Number

Technical Contact

First Name

Last Name

Direct/Cell Number

Banking Information

Name of Depository/Bank

Bank Street Address

City

State

Zip Code

Bank Phone Number

Bank Routing Number

Bank Account Number

Gulf Management Systems, Inc. (GMS) is a Third-Party Payment Processor (TPPP) regarding Automated Clearing House (ACH) transactions and an Independent Sales Organization (ISO) regarding Merchant Services. GMS has been in business since 1991 and has over three decades of payment processing experience. The information you provide on behalf of your business on this intake form is for the purpose of creating account(s) with GMS to process payments. GMS is collecting said information for the purpose of fulfilling GMS' regulatory requirements under applicable Federal and State laws and otherwise to facilitate necessary business functions.