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Business Details

Legal Business Name *

DBA (Doing Business As) *

Type of Ownership *

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LLC
Corporation
Sole Proprietor
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Corporate Phone *

Corporate Address *

City *

State *

Zip Code *

Physical Address Same as Corporate Address? *

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If your physical address is different from your corporate address, please enter it here:

Corporate Email *

Description of Product Sold *

What type of business or product is sold? i.e. restaurant, auto shop, salón

Date Business Started *

Do you have a website?

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Yes
No
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If yes, what is your website URL?

Processing Details:

Typical High-End Ticket *

Please provide the highest amount you anticipate charging in a single transaction. Additional documentation required for high ticket sales including but not limited to business bank statements and past invoices.

Average Ticket Size *

How much is your average card sale?

Monthly Bank Card Volume *

Please provide the average total amount you process in card payments each month.

% Keyed (Card Not Present) *

What percentage of your card sales do are manually entered where the card is not present at the time of purchase (i.e., online or over the phone)?

% Card Swiped / EMV *

What percentage of your card sales do are swiped, inserted, or tapped via EMV?

If you have not processed credit cards yet, please enter estimated percentages (%) for each category. These can be approximate.

Sum of both these MUST BE EQUAL to 100. (La suma de ambos debe ser igual a 100)

Recent Monthly Processing Statement (Required for High Ticket Limits and Free Equipment) Est

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 6 Files )

Do You Accept EBT or Food Stamps?

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Yes
No
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FNS # (Required to accept EBT and/or food stamps)

If you accept food stamps and/or EBT payments, please enter your FNS number above.

Does your business take deposits/take payments for future delivery? *

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What percentage of the business is future delivery/deposits *

What percentage of a deposit is required?

How far out is the deposit placed before the product/service is rendered?

What is your refund policy?

Build Specifications:

Tips

None
Tip Line
Tip Prompt
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Auto Close?

Disable
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Auto Close Time

Terminal Primary Communication

Wifi
Ethernet
4G Sim Card
Dial
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Business Banking Information:

Bank Account Number *

Routing Number *

Upload a Voided Check or Bank Letter (highly recommended but not required)

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Name of Bank *

Owner Information:

Owner First Name *

Owner Last Name *

Is your local residential address different from the address on your driver’s license? *

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Ownership % *

Social Security Number *

Owner Driver License *

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Are you comfortable proceeding with a credit check as part of underwriting, knowing that it can be waived if needed, but may delay the process?

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Tax ID # or EIN # *

How Did You Find Us?

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Sales Representative
Referral
Google
Instagram
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BNI
St. Petersburg Chamber of Commerce
Other (Otro)
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Who is Your Sales Rep or Who Referred You?

Lo que dicen nuestros clientes

El equipo de pagos mejor valorado en Google en la ciudad

Contáctanos

Número de teléfono: (727) 732-3292

Email: [email protected]

Dirección: 136 4th St N, Suite 223, St Petersburg, FL 33701

Horario: Lunes – Viernes 10:00 a.m. – 7:00 p.m.

*Solo con cita previa*

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136 4th St N Ste 223, St. Petersburg, FL 33701, USA

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Please fill out the secure intake form below to apply for a merchant account

Business Details

Processing Details:

Build Specifications:

Business Banking Information:

Owner Information:

Lo que dicen nuestros clientes

El equipo de pagos mejor valorado en Google en la ciudad

Contáctanos

Follow Us on Social Media

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SÉ PARTE DEL EQUIPO

CONOCE MÁS

APLICA AHORA

Orgullosos miembros y colaboradores de las siguientes organizaciones locales