@php $usStates = \App\Helpers\LocationOptions::usStates(); $countries = \App\Helpers\LocationOptions::countries(); @endphp @push('modals')

@csrf {{-- Role checkboxes --}}

@foreach([ 'is_app_signer' => ['App Signer', 'Set as the primary signer for the application.'], 'is_personal_guarantor' => ['Personal Guarantor', 'Personally guarantees the merchant account.'], 'is_beneficial_owner' => ['Beneficial Owner', 'Owns 25% or more of the business.'], 'is_individual_with_control'=> ['Individual with Control','Has significant management authority.'], ] as $field => [$label, $tooltip])

@endforeach

First Name *

Title *

Last Name *

Phone Number *

Email Address *

U.S. Citizen/Resident? *

Yes

Social Security Number *

% of Ownership *

Date of Birth *

Address

Country *

Street Number *

Street Name *

Postal Code *

City *

Street Direction (optional)

Street Type (optional)

State *

Unit, Suite, etc. (optional)

@endpush