ContractMerchant Application & Agreement • January 20th, 2023
Merchant Application & Agreement42 Main StreetRev 19 LLC (dba Agile Financial Systems) Hudson, MA 017492535 E. Southlake Blvd, #140 978-562-2222Southlake, TX 76092817-754-1675 | www.go-afs.com Agent Name: Agent #: Merchant #: MCC: Merchant Name (DBA Or Trade Name) Corporate/Legal IRS Filing Name Location Address Corporate Address (If Different) City State Zip City State Zip Contact Name Contact Email Address Business Telephone Federal Tax ID # Does this location currently accept payment cards? Yes No Has merchant or owners/ principals ever been terminated from accepting payment cards from any payment network for this business or any other business? Yes No (If yes, please explain reason for termination) TYPE OF BUSINESS: NATURE OF BUSINESS: Individual/Sole Proprietor Corporation Government State: Partnership LLC Non-Profit (Provide evidence of 501(c)(3) Status)Public Traded-Stock Symbol Years in Business Months in Business Product or Service being offered Retail Mail/Phone Order Interne
ContractMerchant Application & Agreement • January 20th, 2023
Merchant Application & Agreement42 Main StreetRev 19 LLC (dba Agile Financial Systems) Hudson, MA 017492535 E. Southlake Blvd, #140 978-562-2222Southlake, TX 76092817-754-1675 | www.go-afs.com Agent Name: Agent #: Merchant #: MCC: Merchant Name (DBA Or Trade Name) Corporate/Legal IRS Filing Name Location Address Corporate Address (If Different) City State Zip City State Zip Contact Name Contact Email Address Business Telephone Federal Tax ID # Does this location currently accept payment cards? Yes No Has merchant or owners/ principals ever been terminated from accepting payment cards from any payment network for this business or any other business? Yes No (If yes, please explain reason for termination) TYPE OF BUSINESS: NATURE OF BUSINESS: Individual/Sole Proprietor Corporation Government State: Partnership LLC Non-Profit (Provide evidence of 501(c)(3) Status)Public Traded-Stock Symbol Years in Business Months in Business Product or Service being offered Retail Mail/Phone Order Interne
ContractMerchant Application & Agreement • January 20th, 2023 • Texas
Merchant Application & Agreement42 Main StreetRev 19 LLC (dba Agile Financial Systems) Hudson, MA 017492535 E. Southlake Blvd, #140 978-562-2222Southlake, TX 76092817-754-1675 | www.go-afs.com Agent Name: Agent #: Merchant #: MCC: Merchant Name (DBA Or Trade Name) Corporate/Legal IRS Filing Name Location Address Corporate Address (If Different) City State Zip City State Zip Contact Name Contact Email Address Business Telephone Federal Tax ID # Does this location currently accept payment cards? Yes No Has merchant or owners/ principals ever been terminated from accepting payment cards from any payment network for this business or any other business? Yes No (If yes, please explain reason for termination) TYPE OF BUSINESS: NATURE OF BUSINESS: Individual/Sole Proprietor Corporation Government State: Partnership LLC Non-Profit (Provide evidence of 501(c)(3) Status)Public Traded-Stock Symbol Years in Business Months in Business Product or Service being offered Retail Mail/Phone Order Interne
ContractMerchant Application & Agreement • January 20th, 2023 • Texas
Merchant Application & Agreement42 Main StreetRev 19 LLC (dba Agile Financial Systems) Hudson, MA 017492535 E. Southlake Blvd, #140 978-562-2222Southlake, TX 76092817-754-1675 | www.go-afs.com Agent Name: Agent #: Merchant #: MCC: Merchant Name (DBA Or Trade Name) Corporate/Legal IRS Filing Name Location Address Corporate Address (If Different) City State Zip City State Zip Contact Name Contact Email Address Business Telephone Federal Tax ID # Does this location currently accept payment cards? Yes No Has merchant or owners/ principals ever been terminated from accepting payment cards from any payment network for this business or any other business? Yes No (If yes, please explain reason for termination) TYPE OF BUSINESS: NATURE OF BUSINESS: Individual/Sole Proprietor Corporation Government State: Partnership LLC Non-Profit (Provide evidence of 501(c)(3) Status)Public Traded-Stock Symbol Years in Business Months in Business Product or Service being offered Retail Mail/Phone Order Interne
Please Print:Merchant Application & Agreement • May 6th, 2024
will do our best to place you in close proximity to the required utilities, but cannot guarantee. Be sure to bring necessary extension cords, etc.)
ContractMerchant Application & Agreement • March 14th, 2022
Merchant Application & Agreement42 Main StreetRev 19 LLC (dba Agile Financial Systems) Hudson, MA 017492535 E. Southlake Blvd, #140 978-562-2222Southlake, TX 76092817-754-1675 | www.go-afs.com Agent Name: Agent #: Merchant #: MCC: Merchant Name (DBA Or Trade Name) Corporate/Legal IRS Filing Name Location Address Corporate Address (If Different) City State Zip City State Zip Contact Name Contact Email Address Customer Service Phone Number Business Telephone Federal Tax ID # Does this location currently accept payment cards? Yes No Has merchant or owners/ principals ever been terminated from accepting payment cards from any payment network for this business or any other business? Yes No (If yes, please explain reason for termination) TYPE OF BUSINESS: NATURE OF BUSINESS: Individual/Sole Proprietor Corporation Government Private State: Partnership LLC Non-Profit (Provide evidence of 501(c)(3) Status)Public Traded-Stock Symbol Years in Business Months in Business Product or Service being o
Merchant ApplicationMerchant Application Agreement • July 4th, 2023
You are invited to participate in has many events as you wish. Only one application will be needed if your merchant booth is the same from one event to the next. For different booth configurations or different merchandise, a separate application will be required.
Merchant Application Agreement InstructionsMerchant Application Agreement • July 29th, 2022
☐ If this is a sole proprietorship than name yourself as the owner. If this is a partnership, please name all partners and make sure the (%) of ownership totals to 100%
MERCHANT APPLICATION AGREEMENT INSTRUCTIONSMerchant Application Agreement • July 28th, 2022
Follow the instructions outlined below to assist you in completing your merchant account application. Many of these fields are self- explanatory… for the less common fields we added helpful tips. You will only need to complete and send back pages 1-6 of application.
Merchant Application & Agreement (INDIA)Merchant Application & Agreement • June 30th, 2017
Customer Service Phone # (Required for MOTO and Internet merchants only): Website Address (Required for Internet merchants):
ContractMerchant Application & Agreement • March 14th, 2022
Merchant Application & Agreement42 Main StreetRev 19 LLC (dba Agile Financial Systems) Hudson, MA 017492535 E. Southlake Blvd, #140 978-562-2222Southlake, TX 76092817-754-1675 | www.go-afs.com Agent Name: Agent #: Merchant #: MCC: Merchant Name (DBA Or Trade Name) Corporate/Legal IRS Filing Name Location Address Corporate Address (If Different) City State Zip City State Zip Contact Name Contact Email Address Customer Service Phone Number Business Telephone Federal Tax ID # Does this location currently accept payment cards? Yes No Has merchant or owners/ principals ever been terminated from accepting payment cards from any payment network for this business or any other business? Yes No (If yes, please explain reason for termination) TYPE OF BUSINESS: NATURE OF BUSINESS: Individual/Sole Proprietor Corporation Government Private State: Partnership LLC Non-Profit (Provide evidence of 501(c)(3) Status)Public Traded-Stock Symbol Years in Business Months in Business Product or Service being o
Merchant Application & Agreement (Singapore)Merchant Application & Agreement • July 24th, 2020
Business Information Merchant's DBA Name/Outlet Name: Merchant's Legal / Registered Name: Physical Street Address (No P.O. Box): Legal / Registered Address: DBA Phone: Fax: Corp Phone: Fax: Contact Name at this Address: E-mail: Contact Name at this Address: E-mail:
ContractMerchant Application & Agreement • April 5th, 2022 • Texas
Merchant Application & Agreement42 Main StreetRev 19 LLC (dba Agile Financial Systems) Hudson, MA 017492535 E. Southlake Blvd, #140 978-562-2222Southlake, TX 76092817-754-1675 | www.go-afs.com Agent Name: Agent #: Merchant #: MCC: Merchant Name (DBA Or Trade Name) Corporate/Legal IRS Filing Name Location Address Corporate Address (If Different) City State Zip City State Zip Contact Name Contact Email Address Customer Service Phone Number Business Telephone Federal Tax ID # Does this location currently accept payment cards? Yes No Has merchant or owners/ principals ever been terminated from accepting payment cards from any payment network for this business or any other business? Yes No (If yes, please explain reason for termination) TYPE OF BUSINESS: NATURE OF BUSINESS: Individual/Sole Proprietor Corporation Government Private State: Partnership LLC Non-Profit (Provide evidence of 501(c)(3) Status)Public Traded-Stock Symbol Years in Business Months in Business Product or Service being o
Mail to: The Magical Realm, 7888 N. Gleneagle Dr., Kalamazoo, MI 49048 www.TheMagicalRealm.com ♦ Info@TheMagicalRealm.com ♦ 269-873-2586 2022 ♦ Saturday, June 4, 10 am - 7 pm and Sunday, June 5, 10 am - 5 pm Eaton County Fairgrounds ♦1025 Cochran Ave....Merchant Application & Agreement • June 16th, 2021
Special Requests: Will you have HAZARDOUS MATERIALS on site? (Example: leather dyes, silver polishes, cleaning chemicals, or any petroleum based product)
ContractMerchant Application & Agreement • April 5th, 2022 • Texas
Merchant Application & Agreement42 Main StreetRev 19 LLC (dba Agile Financial Systems) Hudson, MA 017492535 E. Southlake Blvd, #140 978-562-2222Southlake, TX 76092817-754-1675 | www.go-afs.com Agent Name: Agent #: Merchant #: MCC: Merchant Name (DBA Or Trade Name) Corporate/Legal IRS Filing Name Location Address Corporate Address (If Different) City State Zip City State Zip Contact Name Contact Email Address Customer Service Phone Number Business Telephone Federal Tax ID # Does this location currently accept payment cards? Yes No Has merchant or owners/ principals ever been terminated from accepting payment cards from any payment network for this business or any other business? Yes No (If yes, please explain reason for termination) TYPE OF BUSINESS: NATURE OF BUSINESS: Individual/Sole Proprietor Corporation Government Private State: Partnership LLC Non-Profit (Provide evidence of 501(c)(3) Status)Public Traded-Stock Symbol Years in Business Months in Business Product or Service being o
Mail to: The Magical Realm, 7888 N. Gleneagle Dr., Kalamazoo, MI 49048 www.TheMagicalRealm.com ♦ Info@TheMagicalRealm.com ♦ 269-873-2586 2023 ♦ Saturday, June 3, 10 am - 6 pm and Sunday, June 4, 10 am - 6 pm Eaton County Fairgrounds ♦1025 Cochran Ave....Merchant Application & Agreement • June 12th, 2022
LIST Merchandise to be offered (include DIGITAL photos of merchandise for jury & marketing) (No Multi-level Marketing Sales):
Please Print:Merchant Application & Agreement • October 26th, 2019
Mail to: The Magical Realm, P.O. Box 2781, Kalamazoo, MI 49003 www.TheMagicalRealm.com ♦ Merchants@TheMagicalRealm.com Saturday, June 6, 11 am - 7 pm and Sunday, June 7, 10 am - 5 pm
Member Bank Disclosure: The responsibilities listed below do not supersede terms of the Merchant Application & Agreement or Merchant Terms & Conditions and are provided to ensure Merchant understands the important obligations of each partyMerchant Application & Agreement • November 5th, 2020
Merchant Application & Agreement (Singapore)Merchant Application & Agreement • September 7th, 2018
Merchant Profile Credit Card Information Type of Ownership: Sole Proprietor Partnership Professional Assoc. Market Type: Sales Profile (Must equal 100%)
