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2024-10-09T10:18:54+00:00
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1
Business Information
2
Owners Information
3
Account Information
What Program?
*
Dual Pricing / Cash Discount
Traditional Merchant Account
Business DBA
*
Business Legal Name
*
Business Full Address
*
Legal Full Address (Optional)
Business Phone
*
Business Email
*
Federal Tax ID # / EIN
*
Type of Business
*
Date Business Started
*
Owner First Name
*
Owner Last Name
*
Title
*
Ownership %
*
Owner Cell Phone
*
Home Address
*
Social Security Number
Date of Birth
*
Average Yearly Credit Card Volume
*
Highest Ticket Amount
*
Average Credit Card Ticket
*
Where are the sales Transacted
Face to face
Over the phone
Online
Combination of all
What kind of Terminal or POS will you use?
Does the terminal need to calculate taxes?
Yes
No
Does the terminal need to be mobile?
Yes
No
Does the merchant take tips?
Yes
No
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