Merchant Sign-Up

Apps*
- Requires New Setup or New Tablet
- Add Another Location
- IOS App
- Android App
- Credit Card Terminal
- Wired Thermal Printer (Setup Included)
- Wireless Thermal Printer (Setup Included)
- Update Current Profile
- Basic Social Media
- Standard Social Media
- Premium Social Media
New Setup or New Location Includes Hardware Tablet
Add Service Plan Or Update Current Plan
skip if not applicable
Website & SEO
- none
- SAPPHIRE Blue Starter $150
- EMERALD Green Professional $200
- PINK STAR ENTERPRISE
Custom Subscription
skip if not applicable
Business Name*
Entity legal name
DBA (Doing Business As)
DNA Name
App Name*
Exact Name Of The App
Business EIN (if requested)*
Bank Checking Information*
Account Number Routing Number
Required only for App Credit Card Terminal
Credit Card On File (New or an Update)*
Name On Credit Card Credit Card Number Expire Date CVV
Required for New subscription or Update Payment
Authorized Business representative*
I consent that I have significant responsibility for managing the company
An account must be activated by someone authorized to sign on behalf of the business. If you aren't, please invite someone who is and transfer ownership of the account. You will still have administrator access, and any information you added will be saved.
Owner Name*
First Last
Date Of Birth*
Month
Day
Year
(only if credit card terminal is requested)
What percentage do you own?*
Must be the higher percentage of the business
Social Number*
required if applying for credit card terminal.
Billing Phone*
Not visible for public, only for legal and billing purposes
Billing Email*
Billing Address*
Street Address City State ZIP Code
Shipping Address*
Same as billing
Street Address City State ZIP Code
Title Change
Data To Update / Domain Name Access (Optional)
Menu Upload (submitting new menu)
Drop files here or
Max. file size: 256 MB.
Other Documents (W9, ST3, EIN Form etc...)
Drop files here or
Max. file size: 256 MB.
skip if not applicable
Notes
Consent*
By signing below, I certify all information is true and correct to the best of my knowledge.
Initials Confirmation
Full name initials

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