Common Contracts

2 similar Operator Agreement contracts

ATM Operator Agreement and/or ATM Source of Funds Provider Declaration Agreement
Operator Agreement • September 11th, 2013

Section A Terminal Deployment Location [Requires completion] 1. Name of Location (Doing Business As) 2. Physical Street Address of Location 3. City, State, Zip of Location 4. Location Phone Number 5. Business Tax ID Number of merchant 6.Type of Business (Sole Proprietor, Partnership, LLC, Corporation, Financial Institution) 7. Merchandise/Services Sold where terminal is deployed 8. Financial Institution Number (FI#, FDIC, NCUA, ASI) Section B Deployed Terminal Information [Requires completion] 9. Terminal Identification Number 10. Processor of deployed terminal Section C Applicant is an Individual or a Sole Proprietor 11. Applicant First Name 12. Applicant Last Name 13. Applicant (Home) Physical Street Address 14. Applicant (Home) City, State, Zip 15. Applicant Social Security Number 16. Applicant Date of Birth (mm/dd/yyyy) Section D Applicant is a Company (Partnership, LLC, Corporation, Financial Institution) 17. Applicant Company (legal) Name 18. Applicant Company Physical Street Add

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ATM Operator Agreement and/or ATM Source of Funds Provider Declaration Agreement
Operator Agreement • July 22nd, 2013

Section A Terminal Deployment Location [Requires completion] 1. Name of Location (Doing Business As) 2. Physical Street Address of Location 3. City, State, Zip of Location 4. Location Phone Number 5. Business Tax ID Number of merchant 6.Type of Business (Sole Proprietor, Partnership, LLC, Corporation, Financial Institution) 7. Merchandise/Services Sold where terminal is deployed 8. Financial Institution Number (FI#, FDIC, NCUA, ASI) Section B Deployed Terminal Information [Requires completion] 9. Terminal Identification Number 10. Processor of deployed terminal Section C Applicant is an Individual or a Sole Proprietor 11. Applicant First Name 12. Applicant Last Name 13. Applicant (Home) Physical Street Address 14. Applicant (Home) City, State, Zip 15. Applicant Social Security Number 16. Applicant Date of Birth (mm/dd/yyyy) Section D Applicant is a Company (Partnership, LLC, Corporation, Financial Institution) 17. Applicant Company (legal) Name 18. Applicant Company Physical Street Add

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