Please submit the information below and we will initiate the software boarding process for your new franchise.

Upon submission, you will receive an agreement for e signing and merchant application forms.

Please allow 5 business days for access to the software.
Please allow 10 business days for merchant account approval once forms have been submitted.

Fields marked with a * are required.

*Location Name: (eg. Goldfish Birmingham MI)

*Primary Contact Name:

*Primary Contact Phone:

*Primary Contact Email:

*Business Entity Name:

*Number of Remote Logins required to begin with

*Links Live Date MM/DD/YY: (the date you first require access to the software)

Data Conversion Date MM/DD/YY: (if required, minimum 2 weeks from today)

Site AddressSite Address 2* Site City* Site State* Site Zip
Additional Comments: