Which brands do you intend to purchase? (Select all that apply.)*
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Your designated Account Manager will contact you shortly after the completion of these forms. Should you have an interest in American Express products, they will be able to provide further information at that time. In conjunction with the card networks(s), it is InComm InCentives’ requirement to perform a due diligence review on all potential new partners before entering into any contractual obligations. Furthermore, InComm practices regulatory and compliance requirements in conjunction with The Bancorp, Inc., and Meta Financial Group, Inc.
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Legal Info
An asterisk (*) indicates a required field.Patriot Act Disclosure: Important information about procedure for becoming a customer - To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each individual or entity who becomes a customer. What this means for you: When you become a customer, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
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Review Information
Business Information
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DBA
Business Website
Business Name
Business Phone Number
Primary Business Address ,
Primary Business Contact - ,
Birth Year:
Is your company publicly traded?*
Which brands do you intend to purchase?
Business Details
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Business Industry
Business Tax ID #
Number of Employees
State of Incorporation
Year Established
Current Business Type
Registration Type
What is your company's yearly business gross revenue?
What is the estimated total value of purchased gift cards in the next 12 months?
How do you intend to use the gift cards? (i.e. sales incentive, promotional offer, employee gifts, etc.)
How did you hear about InComm Incentives?
Due Diligence
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Does your company have individual(s) with 10% or greater direct or indirect ownership?
Are you currently under investigation? Do you currently have Complaining Parties & Nature of Proceeding/Inquiry?
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Sign & Submit
An asterisk (*) indicates a required field.
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DBA stands for "doing business as." DBA is a legal name that a business or individual can use instead of their legal name.
Branded gift cards are closed-loop cards that can only be used at the issuing merchant’s stores or online platforms.