NRS Sign-Up Form

NRS Sign-Up Form

Merchant Sign-Up Form

Welcome Aboard KV Payments!
EIN #*
Business Legal Name*
Name on IRS forms
Business Owner Name*

First NameLast Name
Business Owner Email*
example@example.com
Business Owner Cell*
Please enter a valid phone number.
Customer will receive NRS hardware

$250 per station and $49.95/month + tax per station for Advanced 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.
Date of Birth*

MonthDayYear
Date
SSN #*
Driver's License*

Cancelof
Business License*

Cancelof
Voided Check*

Cancelof
Date*

MonthDayYear
Date
Signature*

Clear
Inventory (optional)

(optional - can email to kvpriority@gmail.com)
Cancelof
Should be Empty: