| Merchant DBA Name: |
{merchantInfo[1]} |
| Merchant Contact Name: |
{merchantInfo[2]} |
| Merchant Phone Number: |
{merchantInfo[3]} |
| Merchant Email: |
{merchantInfo[4]} |
| Business Relationship: |
{businessRelationship} |
| Reseller Business Name: |
{resellerInfo[1]} |
| Reseller Contact Name: |
{resellerInfo[2]} |
| Reseller Phone Number: |
{resellerInfo[3]} |
| Reseller Email: |
{resellerInfo[4]} |
| Payment responsibility: |
{whoIsPaying} |
| Change Request Type: |
{changeRequestType} |
| Signed Proposal: |
{newInstallProposalQuestion} |
| Signed Proposal Confirm: |
{notifyCDfollowUp} |
| Signature Threashold: |
{notifySigThreshold} |
| New Owner's Name: |
{newMerchantInfo[1]} |
| New Contact Name: |
{newMerchantInfo[2]} |
| New Phone: |
{newMerchantInfo[3]} |
| New Email: |
{newMerchantInfo[4]} |
| Terminal Encryption: |
{notifyTerminalEncryption} |
| Credit Card Processor: |
{processorChoice} |
| Coming Soon: |
{notifyComingSoon} |
| Unsupported Processor: |
{notifyUnsupportedProcessor} |
| Old Processor Name: |
{oldCreditCardData[1]} |
| Old Processor Sales Rep: |
{oldCreditCardData[2]} |
|
Old Processor Phone Number:
|
{oldCreditCardData[3]} |
| Old Processor Email: |
{oldCreditCardData[4]} |
| Processor Business Name: |
{processorContactInfo[1]} |
| Processor Sales Rep: |
{processorContactInfo[2]} |
| Processor Phone Number: |
{processorContactInfo[3]} |
| Processor Email: |
{processorContactInfo[4]} |
| Processor Contacted: |
{processorContacted} |
| No Proc Contact Confirm: |
{noProcessorContactConfirm} |
| Terminal Swap List: |
{terminalSwapList} |
| Terminal Source: |
{terminalProvider} |
| Terminal Host (existing): |
{terminalHostExisting} |
| Terminal Host: |
{terminalHost} |
| Terminal List: |
{terminalSerialNumberList} |
| Terminal Transaction Options: |
{terminalTransactionTypes} |
| |
{nabParamsPage1} |
| NAB Merchant Number: |
{nabParamsPage1[1]} |
| NAB Customer Number: |
{nabParamsPage1[2]} |
| NAB Location Number: |
{nabParamsPage1[3]} |
| NAB - Per Terminal: |
{nabParamsPerTerminal} |
| |
{tsysParamsPage1} |
| TSYS Merchant Name: |
{tsysParamsPage1[1]} |
| TSYS Merchant Number: |
{tsysParamsPage1[2]} |
| TSYS BIN: |
{tsysParamsPage1[3]} |
| TSYS Chain: |
{tsysParamsPage1[4]} |
| TSYS Agent: |
{tsysParamsPage1[5]} |
| TSYS Store Number: |
{tsysParamsPage1[6]} |
| TSYS MCC / SIC: |
{tsysParamsPage1[7]} |
| |
{tsysParamsPage2} |
| TSYS Merchant City: |
{tsysParamsPage2[1]} |
| TSYS Merchant State: |
{tsysParamsPage2[2]} |
| TSYS Merchant Postal Code: |
{tsysParamsPage2[3]} |
| TSYS Country Code: |
{tsysParamsPage2[4]} |
| TSYS Currenty Code: |
{tsysParamsPage2[5]} |
| TSYS Merchant Phone #: |
{tsysParamsPage2[6]} |
| TSYS Timezone Code: |
{tsysParamsPage2[7]} |
| TSYS Timezone Differential: |
{tsysParamsPage2[8]} |
| |
{tsysParamsDebit} |
| TSYS Merchant ABA #: |
{tsysParamsDebit[1]} |
| TSYS Merchant Settlement Number: |
{tsysParamsDebit[2]} |
| TSYS - Per-terminal: |
{tsysParamsPerTerminal} |
| |
{heartlandParamsPage1} |
| Portico Merchant ID: |
{heartlandParamsPage1[1]} |
| Portico License ID: |
{heartlandParamsPage1[2]} |
| Portico Site ID: |
{heartlandParamsPage1[3]} |
| Portico Username: |
{heartlandParamsPage1[4]} |
| Portico Password: |
{heartlandParamsPage1[5]} |
| Portico - Per-terminal: |
{heartlandParamsPerTerminal} |
| |
{firstDataParamsPage1} |
| First Data Merchant ID: |
{firstDataParamsPage1[1]} |
| First Data Alt Merchant ID: |
{firstDataParamsPage1[2]} |
| First Data Group ID: |
{firstDataParamsPage1[3]} |
| First Data Datawire ID: |
{firstDataParamsPage1[4]} |
| First Data - Per-terminal: |
{firstDataParamsPerTerminal} |
| Terminal Accepted Card Types: |
{terminalCardsAccepted} |
| Termainl Input Options: |
{terminalInputMethods} |
| Terminal NFC Limit: |
{terminalNfcLimit} |
| Terminal Debit Key: |
{terminalDebitKey} |
| Terminal EBT Options: |
{terminalEbtOptions} |
| Terminal EBT FSN #: |
{terminalEbtFsnNumber} |
| |
{terminalTipOptions} |
| Terminal Tip Setting: |
{terminalTipOptions[1]} |
| Terminal Tip Threashold: |
{terminalTipOptions[2]} |
| Terminal Tip Button 1 Amount: |
{terminalTipOptions[3]} |
| Terminal Tip Button 1 Percent: |
{terminalTipOptions[4]} |
| Terminal Tip Button 2 Amount: |
{terminalTipOptions[5]} |
| Terminal Tip Button 2 Percent: |
{terminalTipOptions[6]} |
| Terminal Tip Button 3 Amount: |
{terminalTipOptions[7]} |
| Terminal Tip Button 3 Percent: |
{terminalTipOptions[8]} |
| Terminal Cash Back Option 1: |
{terminalCashBackOptions[1]} |
| Terminal Cash Back Option 2: |
{terminalCashBackOptions[2]} |
| Terminal Cash Back Option 3: |
{terminalCashBackOptions[3]} |
| Terminal Cash Back Option 4: |
{terminalCashBackOptions[4]} |
| Terminal Sound Options: |
{terminalSoundOptions} |
| Terminal Sound Volume: |
{terminalSoundVolume} |
| Terminal EMV Beep Mode: |
{terminalEmvBeepMode} |
| Signature Threadhold: |
{signatureThreshold} |
| POS System: |
{posSystem} |
| Cloud Retailer Config: |
{cloudRetailerConfig} |
| RMS Config Options: |
{rmsOptions} |
| New Install Checklist: |
{newInstallChecklist} |
| New Install Less Common: |
{newInstallLessCommon} |
| |
{itServiceCompanyInfo} |
| IT Service Company Name: |
{itServiceCompanyInfo[1]} |
| IT Service Company Contact: |
{itServiceCompanyInfo[2]} |
| IT Service Company Phone: |
{itServiceCompanyInfo[3]} |
| IT Service Company Email: |
{itServiceCompanyInfo[4]} |
| |
{demographicInfo} |
| Demographic - How did you hear about us: |
{demographicInfo[1]} |
| Additional Info: |
{additionalNotes} |
| One-time Fees: |
{feeCalculations[1]} |
| Monthly Fees: |
{feeCalculations[2]} |
| Request Status: |
{requestStatus} |
