Dharma High-Risk Pre-Application

Thanks for deciding to move forward with Dharma! Please complete the below pre-application – it should take about ten minutes. Upon completion, an Account Representative will send you a DocuSign email to review and digitally sign.

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

 

  • Save/return to this pre-application by clicking the link at the top of the form
  • Get your documentation ready! We'll need a voided check for the account we're linking to, and proof of your legal entity. As a high-risk merchant, we'll likely request business financial documents, tax returns, and bank statements as well. You can ready those.
  • If you take credit cards now, we'll also need 3 complete monthly statements from your current provider
  • Once you submit this form, we'll email you a DocuSign request to electronically view/sign our application. It is not necessary to print/fax the application. Once completed, accounts are typically approved within 3-5 business days. Terminals/equipment will take an additional 3-5 days to setup.
  • For any questions at all, please email sales@dharmams.com, or reach out to your Account Representative at 866-615-5157 and input your account representative's extension number. 



Hold on a moment! It looks like you may not be a perfect fit for Dharma. Part of Dharma's mission is making sure that we educate merchants, and only open accounts for merchants whom we can assist best. We don't want to open accounts that don't benefit our merchants! Unfortunately, Dharma can only work with the following high-risk merchant types:
  • Merchants processing over $35,000/month - our high-risk program is only for merchants processing at least $35,000/month due to the complexities and costs involved on our side.
  • US-based businesses













Please note, this form is NOT completable. Please do not attempt to Submit.



 

Business Processing Parameters

By supplying us with the correct information, we'll be able to properly set your account up and protect against potential fraud. Please use as much accuracy as possible in the below section. 


Please select "Retail" if you sell any goods/services directly to consumers. This is the most common business category. "Quick Serve Restaurant" is only for restaurants processing sales at $25/average transaction and below.

$
Calculate your average transaction by dividing monthly volume by total transactions.

$
If your processing varies significantly from month to month, enter the value for the largest month.

$
Dharma offers AMEX OptBlue - low rates, fast funding, fees on the same statement. All accounts come with AMEX acceptance since there are no extra monthly costs, only processing fees.

$
Transactions larger than this amount may be subject to review and delayed funding.


We're so happy you've decided to partner with Dharma! We regularly work with nonprofits so we're sensitive to your specific needs. We ask for your mission statement so that we can fully understand the nature of your organization and the types of payments your donors/members will be making. We want to make sure we're serving you best!


Common answers are Donations, sales of XYZ Product, tickets to our fundraiser, etc. Please don't just say "products" or "services" - we'll need to know what you're taking payments for! 



years
 

Tell us how to contact you and the organization




Numbers only, please!

We will send important alerts here!

Required if you take ANY online sales.

Please ask us any questions, or give us any pertinent information about your business or organization here.

We'd love to say "Thanks!" to the person or organization who referred you to Dharma.

We'd love to say "Thanks!" to the person or organization who referred you to Dharma.

Please let us know how you found us!

This is the address you'll share with customers.




This is a number you'll share with customers.




Enter the name of your organization as recognized by the IRS. If you are a sole-proprietor, enter YOUR NAME.  





Statements will be available online and will only be mailed to you per request. Communications will include chargeback notifications, and other important account-related information. Choose the address you'll regularly monitor. 

This is the number you use to file your federal taxes with the IRS. This may be your Social Security Number if you're classified as a Sole-Proprietor. It's important we get this right, as we're required to verify your business with the IRS.

If you're not sure of the exact date, please give us your best estimate!
Enter how long the business has been under current ownership.
The business has been under current ownership for
years
For Non-Profits, this will always be equivalent to time in existence.
and
months

All of the below requested information is required. You may have one or two officers of your organization sign. If there is regular turnover between positions in your organization, we recommend having two signers, so that if one leaves you can simply remove them from the account. Your SSN will be required when you sign the DocuSign application we email to you.


 

Signer Information

At least one signer of the application must be the legal owner of the for-profit business, with preferably at least 50% ownership. Nonprofits will need to have an active board member or Executive Director sign on behalf of the organization. 











This is required for identity verification.

%
What % of the business does the signer own? 
 

Second Signer's Information




Note: This email MUST BE DIFFERENT than the first signer's email, since DocuSign requires each signer to have a unique email address.






This is required for identity verification.

%
What % of the business does the second signer own? .


Let us know why you're signing up with Dharma! Is it because you want to partner with a socially conscious B-Corp? Do you love our mission to give back to the community? Is it because you just want low pricing and fair terms? We want to know!


This number is required if you intend on taking any EBT sales.

days until delivery
Please enter the average amount of days that pass between the cardholder authorizing the sale, and when they physically receive their good/service. In a retail establishment, the answer is typically "0" days.


Since you selected "Other," please describe your refund/return policy.

Common channels are Google AdWords, email campaigns, Facebook, Twitter, word of mouth, or direct mail.

If applicable. You may leave this section blank if it does not apply.

If applicable. you may leave this field as-is if your business/organization performs fulfillment.

A common answer is "Customer places order on website, it's processed through our Authorize.net gateway."
 

Your Customers

Help us understand who your customers are, by entering a percentage for each category. The total must equal 100%. If you're selling to retail customers, you'll likely enter "100" in the Consumer category. If you're selling wholesale, you'll likely enter "100" in the Business category. Contracts with local governments count towards Government transactions. Please enter the values that best reflect your needs.

%
%
%
%
 

Card Acceptance

Help us understand how you physically accept payments, by entering a percentage for each category. The total must equal 100%. If you're processing in-person, you'll likely enter "100" in the Card-Present (swiped) category. If you're selling online, you may enter "100" in the Internet category. Keyed-in transactions and phone-sales will be entered into the Keyed Entry section. Please enter the amounts that best reflect your business or organization's needs. 

%
%
%
%
 

Recurring Payments Breakdown

 

Bank Account Information

We need your bank account information so that we can pay you directly for the sales you process. Your money will be automatically deposited to the account on file within 2 business days of settlement. We'll also remove our fees from this account in one lump sum, for the previous months' processing. (For example, processing fees incurred in July would be deduced from your account at the beginning of August).



Always nine digits long.

Do not include the 3 or 4-digit check number!

 
Read about our new terminals by clicking here.
  • All terminals carry an internal PinPad that you can choose to use for PIN debit sales. Only the FD-130 allows for Chip+PIN
  • All terminals will arrive pre-programmed and ready to process.
  • All terminals will ship with 3 rolls of paper and all necessary cables.
  • For $200 you may purchase an external, customer facing PinPad.
  • The PAX s90 Wireless terminal carries an additional $20 monthly fee.
  • Shipping fees are $20/terminal for ground shipping.
  • California businesses will be subject to an 8.75% sales tax.
  • All costs will be billed to the checking account on file upon account approval.

    FD130Verifone Vx520



$

$
 

Terminal Options

Dharma strongly recommends an Internet connection, as there is less potential for errors, transactions will process more quickly, and future updates will be much easier to download. You can always process over phone-line as a "backup" method. Wireless (S90) terminal models will not have a direct internet connection, only dial-up or wireless is available.

Unless you adjust your terminal for tip-acceptance every night, we strongly recommend auto-settling your terminal. But, if you prefer to manually settle your machine, that's OK too! Just don't forget to do so every day.

local to your business
Your batch settlement time determines when your terminal will "settle," sending all of that day's transactions to Dharma for deposit into your bank account. Dharma's cutoff time every day is 7:00 PM EST - that's the last point of the day when you can send sales to us to be processed that day. Otherwise they'll be counted as the next day’s sales. To ensure the quickest possible funding, we recommend settling before 7:00 PM. We recognize that some businesses may be open later than the cutoff time, so you are welcome to choose a later settlement time if your business prefers settling after the last sale of the day.
Clover Options


Quantity:
 Clover Station(s) at $1,349 each

Quantity:
 Clover Mini device(s) at $549 each


Quantity:
 Clover Mobile bundle at $849 each

Quantity:
 Clover Mobile devices at $649 each
 
 
Clover Accessories
Please select the accessories you'd like to purchase for your Clover POS system!

Quantity:
Clover Mini device(s) at $549 each                                                                                                          

Quantity:
Clover Mobile device(s) at $649 each                                                                                                       

Quantity:
Clover Mobile Bundle(s) at $849 each                                                                                                       

Quantity:
FD-40 PinPad(s) at $249 each                                                                                                       

Quantity:
Bluetooth Printer(s) at $199 each                                                                                                       

Quantity:
Mobile Dock(s) at $129 each                                                                                                       

Quantity:
Kitchen Printer(s) at $399 each                                                                                                       

Quantity:
Weight Scale(s) at $399 each                                                                                                                                                                                                                                                                                                                     

Quantity:
Barcode Scanner(s) at $159 each                                                                                                       

Quantity:
Cash Drawer(s) at $99 each                                                                                                       

Quantity:
Swivel Stand(s) at $99 each

Quantity:
Merchant Keypad(s) at $119 each
  
 

Let us know if you have any specific questions or needs as we setup your Clover POS system.

Clover Check Acceptance
With Clover POS, check acceptance is extremely easy! Use the Clover system's built-in camera to accept checks at your point of sale, with no additional hardware required. You can read more about Clover check acceptance (which utilizes Telecheck) by clicking here. Fees are simple:

Fees:
NO monthly fee
1.50% of check volume
$0.20/transaction

We'll build it into your application, so there will be no additional steps to take, and there are no setup fees. Please note that Telecheck may request additional documentation during the underwriting process.

Estimates are fine.


Estimates are fine.

Estimates are fine.


Authorize.net

Thanks for choosing Authorize.net. As a reminder, ALL new Authorize.net accounts will include access to an online Virtual Terminal, Automated Recurring Billing, and Customer Information Manager. Swiping devices can be purchased directly from Authorize.net for roughly $60 shipped.


Ongoing monthly fees for Authorize.net will be paid directly to Authorize.net. Fees are $20/month, and there is a $0.05/transaction fee as well. Authorize.net's billing cycle starts whenever you activate the account (meaning you can hold off until you're ready). Authorize.net bills a month in advance, so whenever you activate your account, you'll be billed for a pro-rated amount for the current month, plus all of the following month.


$

$

Please tell us anything important about your new setup. What shopping cart will you use? Do you have any specific needs for your gateway? Let us know how we can best assist!
NMI Gateway

Thanks for choosing NMI. As a reminder, ALL new NMI accounts will include access to an online Virtual Terminal, Automated Recurring Billing, Customer Information Manager, and Email Invoicing.


Ongoing monthly fees for NMI will be paid directly to NMI. Fees are $20/month, and there is a $0.05/transaction fee as well. 


Learn about level 3 processing here. It typically makes sense for merchants who process B2B sales at volumes of at least $50,000/month. There is an additional $30/month fee for this service.

$

$

Please tell us anything important about your new setup. What shopping cart will you use? Do you have any specific needs for your gateway? Let us know how we can best assist!
Existing Gateway Options

Most often, we can integrate your existing Point-of-Sale or Gateway with your new Dharma account. Due to certain technical limitations, we can't guarantee that your existing setup will work - but typically, if your system is listed here, we can integrate! Please input any pertinent notes that may be beneficial for us to know.



Clover Go
Clover go carries an additional $10/month fee, per account. You can choose between the basic Clover Go device ($99) OR you can opt for the Contactless version, which connects to your phone via Bluetooth instead of the headphone jack. If you opt for the contactless device, you can also purchase a charging cradle for $29 if you'd like. Please note! Clover Go devices do not carry a warranty. They'll be replaced if they arrive defective, but future issues will not be covered by Clover.

 
 
 

Please note, image above shows Contactless unit with optional cradle.

Cradles allow you to "dock" the contactless unit so that you don't have to keep it near your phone. The unit stays fully charged, and you can keep the Contactless unit customer-facing if you prefer. Cradles are $29 each. Note, cradles only work with contactless Clover Go devices.

Since you selected "None of these apply" please let us know how you intend to accept credit cards.
Please Review your Clover Setup Fees for accuracy. 
 

             $
 
Clover Mini Costs

Quantity:    
x    $549 = 

$
Clover Station Costs
Clover Station includes (1) 11.6" Touchscreen Device, (1) High-Speed Printer, and (1) Cash Drawer

Quantity:    
x    $1349 = 

$
Clover Mobile Costs

Quantity:    
x    $649 = 

$
Clover Mobile Bundle Costs
Mobile Bundle includes (1) Clover Mobile Device, (1) Mobile Bluetooth Printer, and (1) Mobile Dock

Quantity:    
x    $849 = 

$
Clover Accessory Costs

Clover Mini Quantity:       
 x    $549 = 

$

Clover Mobile Quantity:       
  x    $649 = 

$

FD-40 PinPad Quantity:        
 x    $249 = 

$

Mobile Bluetooth Printer Quantity:    
 x    $199 = 

$

Mobile Bundle Quantity:            
 x    $799 = 

$

Mobile Dock Quantity:   
 x    $129 = 

$

Kitchen Printer Quantity:       
 x    $399 = 

$

Weight Scale Quantity:        
 x    $399 = 

$

Barcode Scanner Quantity:  
 x    $159 = 

$

Cash Drawer Quantity:   
 x      $99 = 

$

Swivel Stand Quantity:    
 x      $99 = 

$

Merchant Keypad Quantity:    
 x      $119 = 

$
   
Business Documentation

The following documents must be submitted for final application approval. Please securely submit all documentation below. If you're unable to electronically submit your documentation, you may fax documents to (415) 632-1921, or email directly to your sales representative.


You can upload a 501c3 document, business license, articles of incorporation, or any other legal document proving your entity's existence.

We'll need proof of your bank account. That proof can either be a pre-printed, voided check, OR a signed bank letter on bank letterhead detailing the account name, ABA routing number, and account number.


Please upload your past three months' processing statements from your current provider. 

Please upload any other documentation that may be relevant to a new merchant account. This could include marketing materials, purchasing contracts, customer agreements, business financial documents, pricing lists, or any other documentation that may not be available on your website, yet is important for us to know!