Pre-app Cover Details
Created On
May, 09 2023 11:00am
ID #2931
Pre-app Cover Details
Attached
Required Document Checklist :
Voided check
Merchant
(Business) DBA Name :
Puerto Vallarta
Business Legal Name :
Puerto Vallar Inc
Contact Name :
Agustin Angel
Contact Phone Number :
217-342-3177
Physical
Address :
3005 S Banker
City :
EFFINGHAM
State :
IL
Country :
USA
Zip :
62401
Phone Number :
Fax Number :
Email Address :
Website :
Billing Address
Address :
3005 S Banker
City :
EFFINGHAM
State :
IL
Country :
Zip :
62401
Business Type
State incorporated in :
Public
Type of Legal Entity :
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
Types of Goods Sold :
Ownership Information
Banking Information
Billing Type :
Name of Bank :
ABA Routing :
Account :
Estimated Sales Volume
Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$
Average Ticket :
$
High Ticket :
$
Business Profile
Card Swiped :
0%
Card Keyed In :
0% =
0%
Card Present :
0%
Card Not Present :
0% =
0%
Moto :
0%
Internet :
0%
-
Notes :
Terminal Answer
Batch Out Time :
11:00 AM
Terminal Type :
Communication Method :
IP-internet
Do You Dial 9 For Outside Line? :
Yes
Reprogram Terminal :
Yes
Equipment Purchase :
Yes
Equipment Rental Program :
Yes
Next Day Funding :
Yes
Tip Edit :
Yes
EBT :
Yes
FNS Number :
Tax Calculation :
Yes
If So Tax Rate :
Refund Policy :
30 Days
Print Refund Policy On Footer :
Yes
Software Or POS Integration Answer
POS Software Integration :
Software Name & Version :
MP/AP Name :
RP Name :
Pricing Provided :
Statement Analysis
Receipt Header Message :
Receipt Footer Message :