Online Gateway Pre-Application

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Let's get started

Who are we speaking with?

First name*

Last name*

Phone*

What's the best number to reach you personally?

Email*

What's the best email to reach you personally?

Title*

What's your position / role in the business?

Type of Service

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About the business

Please fill in the details below.

Company legal name*

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

Company DBA (doing business as) name*

The nice sounding name people know you as.

Business summary*

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

Number of employees*

Legal structure*Sole ProprietorshipPartnershipPrivate CorporationNon-Profit

Month/Year business started*

When the legal entity was created / incorporated / registered.

Legal address*

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

Location 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.

Email*

Business email address for statements and official communications.

Website

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

Platform and processing behaviour.

Gateway use*

What application are you using?*

The platform you're looking to connect our payments to. What you use to run your online store, invoicing, recurring payments, etc.

Behaviour*

What is your estimated total annual sales?*

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

What is the average transaction size?*

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

What is the maximum transaction size?*

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

Do your customers pay in advance for products/services?*YesNo

If yes,

What percentage of the sale is paid in advance?

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

Refund policy*

Check all that apply.

Back to credit cardStore creditExchangeOtherNone

Written Content

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Attachments

IDs & bank document

Principals*

Number of Principals required*

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

1 Principal2 Principals3 Principals

1st Principal*

Photo ID*

Driver's licence or passport.

Upload Photo ID

Max file size 10MB.

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Official title*

% Ownership*

Phone*

The best number to reach them.

Email*

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

2nd Principal

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

Photo ID

Driver's licence or passport.

Upload Photo ID

Max file size 10MB.

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fileuploaded.jpg

Upload failed. Max size for files is 10 MB.

Official title

% Ownership

Phone

The best number to reach them.

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

3rd Principal

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

Photo ID

Driver's licence or passport.

Upload Photo ID

Max file size 10MB.

Uploading...

fileuploaded.jpg

Upload failed. Max size for files is 10 MB.

Official title

% Ownership

Phone

The best number to reach them.

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

Documents*

Bank document*

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.

Upload Bank Document

Max file size 10MB.

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Additional documents (optional)

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.

Additional document 1

Max file size 10MB.

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Additional document 2

Max file size 10MB.

Uploading...

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Upload failed. Max size for files is 10 MB.

Additional document 3

Max file size 10MB.

Uploading...

fileuploaded.jpg

Upload failed. Max size for files is 10 MB.

Additional document 4

Max file size 10MB.

Uploading...

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Additional document 5

Max file size 10MB.

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Illustrations & Photography

Comments

Is there anything else we should know or something you'd like to say?

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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Thank you so much! We've received your application.

Here is what happens next:

I will review your application and reach out if I have any questions or if something is missing.

I will send you back the official application form via DocuSign for review and digital signature.

As soon as the application is signed I submit it to our banking partner for approval.

Approval can be as quick as the same day or may take a couple days if the bank needs to manually review it. Either way, I'll keep you posted.

Once approved, the machine is shipped express right away and you should receive it in a day or two. If you've signed up for an online gateway you will receive your login info by email.

No matter what, you'll be hearing from me soon and I'll be there every step of the way. From notifying you of reception, approval and shipping, to helping you set things, confirm deposits are good and review your first statement with you.
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You can always reach me at randym@discountpayments.ca or by phone at 1-888-871-7163 ext. 124 if you have any questions.

Talk soon to you soon,

Randy

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