KHI Card Processing Merchant Enrollment Form

To ensure the quickest set up possible, fields marked with an * are required for completion. Merchant enrollment into the card programs will not progress until all required data has been provided. If you need to leave this page before completion, please use the Save and Return feature so you do not lose your work.

Save & Return

Use an account to return to saved work.

Person Completing Form

Please enter information for the person completing this form.  You will be emailed upon submission with all information presented.
By checking this box, I agree to conduct business electronically. *
I would like to enroll as a Merchant for the: *

Merchant Information

Physical Location Information

Financial / Remittance Information

Is your Financial / Remittance address different than above? *

Parent Company

Do you have a Parent Company with different information than what has been disclosed above? *

Primary Contacts

Receive Reports?
Receive Reports? *
Receive Reports *
Is the Remittance Contact the contact who should receive chargeback notifications? *
Please enter the information below for the Chargeback Contact.
Receive Reports?
Would you like to enter any additional contacts? *
Please enter up to 3 additional contacts.
Receive Reports?
Receive Reports?
Receive Reports?
If you would like to set up more additional contacts, please advise the support team upon setup of account.

Tax Information

In accordance with the laws of the United States Internal Revenue Service, KHI is required to obtain a completed W-9 from all merchants based within the United States. For companies outside of the United States, a W-8 form or the enclosed W-8 Substitution form is required. Your merchant account will NOT be completed without one of the below forms. Please select which form is to be submitted.

Invoice Submission Method

Please select the way in which you would like to submit your invoices: *
Do you already utilize an online Point of Sale Software to electronically process your transactions? *
Email is the preferred submission method if you are not electronically sending invoices to us.  For the AIR Card program, you will send invoices to  For the RESQ Card program, you will send invoices to
A KHI representative will reach out to discuss your invoice submission choice.
In order to avoid the 0.5% Paper Invoice Fee, would you like to be set up to use our FREE online Point of Sale software (AvPOS) to process your KHI Card Program transactions? *
AIR Card® Operations
6450 Sprint Parkway | Overland Park, Kansas 66251
Phone: +1 (866) 308-3811 | Fax: +1 (913) 271-9358 |
KHI Card Operations
6450 Spring Parkway | Overland Park, Kansas 66251
Phone: +1 (877) 627-5151 |
SEA Card® Operations
6450 Spring Parkway| Overland Park, Kansas 66251 USA
Phone: +1 (866) 308-5475 |