Merchant Services Application

Applicant must be a resident of the state of Pennsylvania

Online Merchant Services Application

You must have an existing, or be willing to open, a QNB Bank business checking account to apply.

Company Information

Business Address
Mailing Address

Confidential Personal Data

Principal 1
Principal 2
Ownership

Credit Disclosures

Upon submission of this online application, I/we hereby authorize the Bank to make whatever inquiries it deems necessary in connection with my/our merchant application. I/We certify the above statements made in connection with this application are true and correct. Any false or misleading statements could lead to termination of this agreement. This form is not to be construed as an acceptance to your request.