Join Kassa Me as a Receive Only Customer

Receive Only Customer

First Name *

Last Name *

Email *

Commission Entity *

Individual

Business

(This is how you will be paid as an individual or a business.)

Street *

City *

State *

Zip Code *

Social Last Four (SSN) *

Agree to Kassa Me Terms of Conditions and Privacy Policy *

Yes

Business Name *

DBA

Only needed if different than Business Name.

Street *

City, State, and Zip *

EIN *

Business EIN or Your SSN

Agree to Kassa Me Terms of Conditions and Privacy Policy *

Yes

If you are human, leave this field blank.