Stoneleigh Consulting Sales Agent who your working with?
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Merchant Name (DBA, Doing Business As) EG: Bob's Bagel Shop
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Business Email Address (where you want all your communications sent for this merchant account)
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Location Phone #
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Location Address
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City
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State
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ZIP CODE
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Corporate LEGAL Name. EG: Bobs Bagel LLC
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Corporate address if different from DBA address
Federal Tax ID# ( This is 9 digits) Also referred to as EIN OR TIN
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Business Website Address (if none, put none)
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Which of the following does the business fall under: LLC, SCorp, CCorp, Sole Prop, Partnership, Gov't OR 501c/Tax Ex
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What is your total monthly credit card $ volume including ALL card brands: Visa, Master, Disc & Amex (or estimated volume if a new business)
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What is your $ Average Transaction size? (divide your monthly transactions into your monthly volume) eg: If monthly credit card sales were $100,000 and you had 200 transactions, your average transaction = $500. (If new business, estimate)
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What is your highest $ transaction amount ? (Largest transaction you might run on one single card)
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What products OR services are sold?
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What % of transactions are card present? (Is the card physically present when the customer is paying)
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What % of transactions are NOT card present? eg: card taken over the phone OR through your website.
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Do 100% of your transactions go through a Gateway/Shopping cart on your website? (if not put NO)
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Are your sales to regular consumers, business to business OR to the Government?
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Do you have multiple Locations? If so how many? A FREE Payment Terminal can be provided for each location
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Owners Full Name (The person who will be signing the official Merchant application we send back to sign)
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Title: Owner/Partner/Officer OR other
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Percentage % of Ownership?
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Home Address
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City
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State
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ZIP Code
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Cellphone
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Social Security # (this is 9 digits and required on ALL merchant applications country wide since 911)
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Date of Birth
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Drivers License OR State ID, include State, Expiration date
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Bank Name (Where you want your deposits made)
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Bank Routing # (Be sure to double check this)
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Bank Account # (Be sure to double check this)
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How many years have you been in business or are you a new account? (Years & months?)
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