Common Contracts
2 similar Merchant Processing Agreement contracts
BPay 1206 MERCHANT PROCESSING APPLICATION AND AGREEMENT BPay 1206Merchant Processing Agreement • August 5th, 2009
BUSINESS NAME(S) MERCHANT PROFILE Business Name/DBA Website Location Address Email City, State, Zip Location #OF Expected Card SalesMO YR Contact Name Type of Business RETAIL MOTO E-COM Type of Goods/Service Sold Phone Number Fax Number Seasonal Sales Average Ticket Max Ticket Business Legal/Mailing Name High Volume Months Reason for Leaving Current Processor Legal/Mailing Address Current Processor *If processing must include current statements with application City, State, Zip Method of Sales Store Front % Internet %MOTO %Tradeshow % TOTAL 100% Elec Data Capt % Key Ent w/Imprint % Key Entered CNP % TOTAL 100% B2C % B2B % TOTAL 100% Contact Name Phone Number Fax Number COMPANY INFORMATION Ownership TypeSole Prop. Government Corp S,C LLC International Org Partnership Medical/Legal Corp Tax Exempt State/Country Business Filed Federal Tax ID Name of Previous Business Prior Bankruptcies?Discharge Date Yes No Business Personal Business Open Date Length of Current Ownership Trade
BPay 1206 MERCHANT PROCESSING APPLICATION AND AGREEMENT BPay1206(ia)Merchant Processing Agreement • June 25th, 2009
BUSINESS NAME(S) MERCHANT PROFILE Business Name/DBA Website Location Address Email City, State, Zip Location #OF Expected Card SalesMO YR Contact Name Type of Business RETAIL MOTO E-COM Type of Goods/Service Sold Phone Number Fax Number Seasonal Sales Average Ticket Max Ticket Business Legal/Mailing Name High Volume Months Reason for Leaving Current Processor Legal/Mailing Address Current Processor *If processing must include current statements with application City, State, Zip Method of Sales Store Front % Internet %MOTO %Tradeshow % TOTAL 100% Elec Data Capt % Key Ent w/Imprint % Key Entered CNP % TOTAL 100% B2C % B2B % TOTAL 100% Contact Name Phone Number Fax Number COMPANY INFORMATION Ownership TypeSole Prop. Government Corp S,C LLC International Org Partnership Medical/Legal Corp Tax Exempt State/Country Business Filed Federal Tax ID Name of Previous Business Prior Bankruptcies?Discharge Date Yes No Business Personal Business Open Date Length of Current Ownership Trade
