Merchants

Submit to SBC Set as Pre-App

Merchant ID*

Legal Name*

DBA Name*

Processor

Agent*

Split*

Is Override*

Password*

Status*

Product Type

Received Date*

Approved Date

Activation Date

Closed Date

Address

Address 2

City

ZIP

Country

State

Contact

Email(comma separated)

Phone

Phone 2

Cell

Fax

URL

DBA Same as Legal Address

Address

City

ZIP

Country

State

Mailing Address Same as DBA

Address

City

ZIP

Country

State

File here *	Download	Notes *	Status	Date	Action
		Pre App will not upload due to size
		voided check will not upload due to size
		DL will no upload due to size
		signed application

Type*

Deployment Date*

EPI/TPN

Status*

Model*

Purchase T.*

Returned Date

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Type*

Deployment Date

EPI/TPN

Status*

Model*

Purchase T.*

Returned Date

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Send Email to Merchant Send Email to Sales rep Send Email to Employee Delete

Type*

Deployment Date

EPI/TPN

Status*

Model*

Purchase T.*

Returned Date

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Send Email to Merchant Send Email to Sales rep Send Email to Employee Delete

Bank 1 Information

Bank Name

Account Name

Rounting Number

Account Number

Billing Type

Gross Settlement

Net Settlement

Bank 2 Information

Bank Name

Account Name

Rounting Number

Account Number

Overrides who receive partial commission on all of Mid South Fun Box Accounts

Default Setup

Agent 1 Receives

%

on all Newly Inputted Accounts

Agent 2 Receives

%

on all Newly Inputted Accounts

Agent 3 Receives

%

on all Newly Inputted Accounts

Agent 4 Receives

%

on all Newly Inputted Accounts

Processor wise Setup

Select Processor *

Agent 1 Receives

%

on all Newly Inputted Accounts

Agent 2 Receives

%

on all Newly Inputted Accounts

Agent 3 Receives

%

on all Newly Inputted Accounts

Agent 4 Receives

%

on all Newly Inputted Accounts

Select Processor *

Agent 1 Receives

%

on all Newly Inputted Accounts

Agent 2 Receives

%

on all Newly Inputted Accounts

Agent 3 Receives

%

on all Newly Inputted Accounts

Agent 4 Receives

%

on all Newly Inputted Accounts

Merchant *

Month *

Year *

Merchant CMS

EIN/Federal Tax ID Type

MCC Code

EIN/Federal Tax ID #

State incorporated in

Business Start Date

Type of Legal Entity

Business Type

Sub Business Type

Types of Goods Sold

Primary Transaction Type

Card Swiped

%

Card Keyed In

%

Card Present

%

Card Not Present

%

Internet

%

Moto

%

B2B

%

B2C

%

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales

Estimated Monthly Visa/MC/Discover/ AMEX Sales

Average Ticket

High Ticket

Persoanl Guarantor

Telephone Order

%

Discount Method

Refund Policy

30 Days

60 Days

Other

None

Print Refund Policy On Footer
(If Yes Input Message In Notes)

Yes

No

Location Type

Notes

Date

Reminder Date & Time

Employee

Notes

Sr. No.	Date	Reminder Date	Employee	Note	Documents	Created by	Updated at	Updated by	Action
1	Feb 19 2025 05:46 PM		Charlotte Groff	Received an email from David stating that he had received a call from Jenny and that she had been billed $300. We had cancelled the account in December because David said that we had received all of their equipment back a long time ago. She wants a refund for the $300. I did confirm that SBC billed each location the month of December so I requested a single lump sum refund to be issued to the Memphis location - MID 461084469695515. The actual total amount that was billed was $294.45 and a refund was requested for that amount. The breakdown is: Memphis location - $54.80, Little Rock - $179.85, St. Louis - $54.80, Special Events - $5.00	-	Charlotte Groff	Feb 19 2025 07:42 PM		Update Delete
2	Feb 19 2025 06:21 PM		Charlotte Groff	Received an email from David stating that he had received a call from Jenny and that she had been billed $300. We had cancelled the account in December because David said that we had received all of their equipment back a long time ago. She wants a refund for the $300. I did confirm that SBC billed each location the month of December so I requested a single lump sum refund to be issued to the Memphis location - MID 461084469695515. The actual total amount that was billed was $294.45 and a refund was requested for that amount. The breakdown is: Memphis location - $54.80, Little Rock - $179.85, St. Louis - $54.80, Special Events - $5.00	-	Charlotte Groff	Feb 19 2025 07:42 PM		Update Delete
3	Dec 17 2024 05:31 PM			cancelled account - submitted request to SBC to cancel.	-	Charlotte Groff	Dec 17 2024 05:43 PM		Update Delete
4	Oct 19 2023 12:00 AM	Oct 19 2023	Mike Thomas	TT David and Stu (Stl. Hilton) emailed return label (tracking number 773798678842) Email: [email protected]. Stu will call me when he receives the email. He is sending back four B200 card readers.	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
5	Sep 07 2023 12:00 AM	Sep 07 2023	Mike Thomas	Have tried to call merchant 3 times to see what the status is, keep getting voicemail and leaving messages	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
6	Aug 30 2023 12:00 AM	Aug 30 2023	Mike Thomas	Set up Swipe Simple	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
7	Aug 30 2023 12:00 AM		Charlotte Groff	SBC - traditional - Swipe Simple Mobile with 4 dongles - Batch time 8:00pm - SEASONAL Business with open season running March 1 through November (Black Friday)	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete

Application Type

Discount

Business Type

MCC Code

Visa/MC/Discover Rate Category

Base/Qualified (%)

Mid Qualified (%)

Non Qualified (%)

Base Debit- Non Pin Debit(Sig Debit Rate) (%)

Rewards Discount (%)

Statement Fee

Card On File Fee

PCI Fee

Non PCI Compliance

Authorization Fee

Per Item Fee

EBT Fee

FNS/EBT Number

Pin Debit Item Fee

Pin Debit Discount

Amex Opt Blue Rate

Base/Qualified Rate (%)

Mid Qualified Rate (%)

Non Qualified Rate (%)

Program Cost Opt Blue (%)

Authorization Fee

Per Item Fee

Other Monthly Fee

Ancillary Fees

Batch Fee

Retrievel Fee

Chargeback Fee

ACH Change Fee

Voice Auth Fee

Gateway Monthly Fee

Setup Fee

Owner 1 Information

Officer/Owners Name

Title

Social Security

Form of ID

ID #

Issue Date

Expiration Date

State

DOB

Home Phone Number

% of Business Owned

Length of Ownership

Home Address

Home city

Home state

Home country

Home zip

Owner 1 Information

Officer/Owners Name *

Title

Social Security

Form of ID *

ID # *

Issue Date *

Expiration Date *

State *

DOB *

Home Phone Number

% of Business Owned

Length of Ownership

Home Address *

Home city *

Home state *

Home country

Home zip *

Software Or POS Integration Questions Only

POS Software Integration

Yes

No

Software Name & Version:

Pricing Provided

Statement Analysis

Quote

POS Software Publisher

Seasonal Flag

Seasonal Months

Deposit Time Frame

Deposit Type

Network ID

MP/AP Name

RP Name

Receipt Header Message

Receipt Footer Message

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