NRS Sign-Up Form

NRS Sign-Up Form

Welcome Aboard KV Payments, Munir!
EIN #
Business Legal Name
Name on IRS forms
Business Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Owner Name

First NameLast Name
Business Owner Email
example@example.com
Business Owner Cell
Please enter a valid phone number.Format: (000) 000-0000.
Customer will receive NRS hardware

$99 per station and $79.95/month + tax per station for Elite Software Package.

All software will be billed directly by NRS POS.

Processing fees will be charged as card price to customer.

NRS Pay will perform all Customer Service and Technical Support.
Date of Birth

MonthDayYear
Date
SSN #
Driver's License

Cancelof
Business License (SS4; Articles of Incorporation)

Cancelof
Voided Check

Cancelof
Date

MonthDayYear
Date
Signature
Inventory (optional)

(optional - can email to info@kvpayments.com)
Cancelof
Should be Empty: