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Who are we speaking with?

What's the best number to reach you personally?

What's the best email to reach you personally?

What's your position / role in the business?

Type of Service
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About the business

Please fill in the details below.

If your business is a Sole Proprietorship, the legal name is the owner's name.

The nice sounding name people know you as.

A brief explanation of the core service(s) and/or product(s) you offer.

When the legal entity was created / incorporated / registered.

The official registered address of the company. If you are a Sole Proprietorship, this is your home address.

The physical location you work out of (office, fulfillment centre, etc.), you may leave this blank if it is the same as the legal address.

Business email address for statements and official communications.

You may also put a profile page (Facebook, etc.) if you don't have your own site.

Contact Details
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Accepting Payments

Choose your virtual terminal and tell us a bit about your business' processing behaviour.

● Key in transactions
● Save card on file
● Recurring payments
● Send a "click to pay" link
● Email receipts

● Key in transactions
● Save card on file
● Recurring payments
● Simple payment links
● Batch processing

● Key in transactions
● Save card on file
● Recurring payments
● Digital invoicing
● Simple checkout

A ballpark of all sales in a year (does not need to be exact).

The typical order size from a customer (does not need to be exact).

The largest purchase you would expect (does not need to be exact).

What percentage of the sale is paid in advance?

On average, how long from date of payment for delivery/fulfillment?

Check all that apply.

Written Content
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Attachments

IDs & bank document

Principals must jointly represent at least 51% ownership in the business.

Driver's licence or passport.

Max file size 10MB.
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The best number to reach them.

The email you would like to use for e-signature.

Optional only if 1st Principal represents at least 51% ownership.

Driver's licence or passport.

Max file size 10MB.
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The best number to reach them.

The email you would like to use for e-signature. (must be different from 1st Principal's email)

Optional only if 1st & 2nd Principals represent at least 51% ownership.

Driver's licence or passport.

Max file size 10MB.
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The best number to reach them.

The email you would like to use for e-signature. (must be different from 1st & 2nd Principals' emails)

Void cheque for the account you'd like your deposits sent to. No starter cheques allowed. Generated PDF void cheque from your online banking is OK.

Max file size 10MB.
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Incorporation papers, business registration, business licenses (master, liquor, taxi, etc.), statement from current processor, photo of storefront, etc. Whatever you'd like to provide could help expedite things as we may need to ask later.

Max file size 10MB.
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Max file size 10MB.
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fileuploaded.jpg
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Max file size 10MB.
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fileuploaded.jpg
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Max file size 10MB.
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Max file size 10MB.
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Illustrations & Photography
Comments

Is there someone we should thank for referring you to us? Special circumstances? Feedback about this form? We'd love to hear it!

This is a pre-application. You will be sent the official application to review before you digitally sign.

‍For processing rate, see our pricing page to get your instant personalized rate.

We will reach out after you submit this form to confirm receipt, and to answer any and all questions you may have.

Thank you for choosing Discount Payments!

Confirmation
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