Merchants

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Merchant ID

Legal Name

DBA Name

Processor

Agent

Split

Is Override

Password

Received Date

Approved Date

Activation Date

Closed Date

Product Type

Status

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

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

SN 11822473

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

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

SN: 118213111845 ***Returned***

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

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 ATC Fitness of Senatobia INC 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 #

Type of Legal Entity

State incorporated in

Types of Goods Sold

Primary Transaction Type

Internet

%

Swipe

%

Keyed

%

Average Ticket

Telephone Order

%

Annual Volume

Business Start Date

High Ticket

Persoanl Guarantor

Monthly Volume

Discount Method

Refund Policy

30 Days

60 Days

Other

None

Date

Reminder Date & Time

Employee

Notes

Sr. No.	Date	Reminder Date	Employee	Note	Action
1	Mar 11 2025		Alexander Wilkins	Spoke to merchant, stated that their terminal was not printing. Upon testing it did successfully print a receipt. I let them know that if it happens again to let us know so we can troubleshoot the issue.
2	Jan 08 2024		Mike Thomas	Returned VL 100 SN: 118224737513 will not connect to wi-fi. Will test here.
3	Jan 04 2024		Mike Thomas	TT Jamie she received new terminal still can't connect to wi-fi at location but she can connect to her hot spot. She will look into hardwiring ethernet cable.
4	Jan 02 2024		Mike Thomas	TT Jamie and Valor we couldn't get it to connect via wi-fi. Jamie says she connected to ethernet and still not working (i don't think they had it connected to router replaced per Emily) Shipped FedEx ground tracking# 774658269870
5	Jan 02 2024		Mike Thomas	Finally talked to Jamie, advised her we need to try ethernet. She is going to get an ethernet cable and try. She will call us back if she has issues.
6	Dec 26 2023			TT Briar concerning terminal not connecting to wi-fi. I had talked to the merchant on Friday after hours and they were having internet issues, Comcast came today and did something and all their other equipment was working on wi-fi. I offered Briar the VT and also told him he could connect with ethernet cable. He said he didn't have the authority to make those decisions and would ,have his manager call me. I haven't heard from her as of this time. Valor has recommended RMA but we want to try ethernet first if possible.
7	Aug 28 2023		Charlotte Groff	Bill McDowel called and said he was missing a batch receipt and wanted to go through the transactions that were on his batches from 8/24 through 8/26 batch dates. He was missing one receipt for $10.00 from the 8/25 batch. I gave him the total of the batch $132.40
8	Aug 17 2023	Aug 17 2023	Mike Thomas	TT Hunter walked him through a refund and advised him password is the last 4 digits of the EPI number

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

Y N

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

Y N

Home Address *

Home city *

Home state *

Home country

Home zip *

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