API Onboarding Form

 

    BUSINESS INFO

    Legal Business Name:
    DBA/Outlet Name:
    Store Address:
    Phone Number:
    Email:
    Fax Number: (Optional)

    Number of Employees:
    Date of Incorporation (MM/YY):
    Owner Name:
    Owner Contact Number:

    Drivers License #:
    Date of Birth (MM/DD/YY):
    Address on License (#, Street, City, State,ZIP):
    SIN / VISA / Mastercard (Provide only one):

    ACCOUNT INFO

    (Optional)


    Statement Preference:



    Debit Cash Back:



    VOID Check:
    Number of Wired Terminals Required:
    Wireless Terminal Required for Deliveries:



    Estimated Annual Sales (All Cards): $
    Estimated Annual Interac Sales: $
    Estimated Annual Visa Sales: $
    Estimated Annual M/C Sales: $

     

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