Pre-app Cover Details
Created On
Nov, 09 2023 19:42pm
ID #7464
Pre-app Cover Details
Attached
Required Document Checklist :
Voided check
Merchant
(Business) DBA Name :
Blue Sky #703
Business Legal Name :
Blue Sky Inc
Contact Name :
Dwayne Temple
Contact Phone Number :
601-684-5641
Physical
Address :
2103 Hwy 72 West
City :
Corinth
State :
MS
Country :
Zip :
38834
Phone Number :
Fax Number :
Email Address :
Website :
Billing Address
Address :
PO BOX 1578
City :
Grenada
State :
MS
Country :
Zip :
38901
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 :
Regions
ABA Routing :
065305436
Account :
*****8450
Estimated Sales Volume
Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$170000.00
Average Ticket :
$45.00
High Ticket :
$2500.00
Business Profile
Card Swiped :
95%
Card Keyed In :
5% =
100%
Card Present :
-
Card Not Present :
- =
0%
Moto :
-
Internet :
0%
Notes :
-
Terminal Answer
Batch Out Time :
-
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 :
-