Pre-app Cover Details
Created On
May, 09 2023 11:00am
ID #4218
Pre-app Cover Details
Attached
Required Document Checklist :
Voided check
Merchant
(Business) DBA Name :
CAVANAUGH CHIROPRACTIC
Business Legal Name :
MICHAEL R CAVANAUGH DC APC
Contact Name :
MATTHEW CAVANAUGH
Contact Phone Number :
337-984-5852
Physical
Address :
105 INDEPENDENCE BLVD SUITE 3
City :
LAFAYETTE
State :
LA
Country :
USA
Zip :
70506
Phone Number :
Fax Number :
Email Address :
Website :
Billing Address
Address :
105 INDEPENDENCE BLVD SUITE 3
City :
LAFAYETTE
State :
70506
Country :
USA
Zip :
LA
Business Type
State incorporated in :
Public
Type of Legal Entity :
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
72-1467006
Types of Goods Sold :
Ownership Information
Banking Information
Billing Type :
Name of Bank :
RAYNE STATE BANK & TRUST
ABA Routing :
065204443
Account :
1340942
Estimated Sales Volume
Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$120,000.00
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$10,000.00
Average Ticket :
$250.00
High Ticket :
$1,000.00
Business Profile
Card Swiped :
90%
Card Keyed In :
0% =
90%
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 :