Merchant Details

Thank you for signing up as a Huckleberry Go partner. Please fill out the form below so that your account can be enabled to receive payments.

Official Business Name *

The account’s company name and EIN should match exactly what’s shown on the company’s SS-4 confirmation letter or Letter 147c , including capitalization and punctuation.

Employer Identification Number (EIN) *

The account’s company name and EIN should match exactly what’s shown on the company’s SS-4 confirmation letter or Letter 147c , including capitalization and punctuation.

Business Address *

Business Phone *

Representative Details

Legal Name *

First

Last

Email *

Date of Birth *

SSN (last 4 digits) *

Address *

Address Line 1

City

State

Zip Code

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