Common Contracts
1 similar Merchant Services Application and Agreement contracts
Merchant Services Application and AgreementMerchant Services Application and Agreement • July 28th, 2006
MERCHANT INFORMATION DBA NAME/OUTLET NAME: LEGAL NAME (IF DIFFERENT THAN DBA): PHYSICAL STREET ADDRESS (NO P.O. BOX): LEGAL ADDRESS: CITY, STATE, ZIP: CITY, STATE, ZIP: DBA PHONE: FAX: CORP. PHONE: FAX: CONTACT NAME AT THIS ADDRESS: E-MAIL: CONTACT NAME AT THIS ADDRESS: E-MAIL: CUSTOMER SERVICE PHONE # (REQUIRED FOR ALL MERCHANTS): WEB SITE ADDRESS (REQUIRED FOR INTERNET MERCHANTS):
