Local Card Guy - Merchant Pre-App

MERCHANT PRE-APP

Merchant Pre-App

Pre Application For Merchant Services

Business Legal Name

DBA Name

Business Address

City

State

Zip

Business Phone

Business Email Address:

Products/ Services Sold

Business Tax Filing

Estimated Monthly Credit Card Sales

Estimated Average Credit Card Individual Sale Amount

Estimated Highest $$ Credit Card Individual Sale Amount

Signer/Owner Name

Signer Title

Signer Percentage of Ownership

Signer Home Phone

Signer Email Address

How did you hear about us?

Do you have existing point of sale equipment to program?

Yes

If Yes, enter Manufacturer and Model Number here:

If any external devices (pin pad, check reader, etc.) enter here

Do you need a point of sale or terminal?

Yes

You can download a copy of the merchant pre application here, complete and either email to info@localcardguy.com or fax to 888-317-6523. *Full information will be required at time of signing agreement.

LOCAL CARD GUY

CUSTOMER SERVICE: 855-42-LOCAL (56225) • FAX: 888-317-6523

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Pre Application For Merchant Services

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