URHOST 360 MENU PROFILE BUILD

1
LOCATION OR DBA NAME* This field is required.What Name does your business operate under?
2
Which Package did you select?.
3-D Photo shoot only $1700.00 (No marketing)
Elite Month to Month + Photo Shoot $750 (Marketing+App+Website+Full Suite)
Exclusive Subscription includes Photo Shoot (RECOMMENDED) $375.00 (Marketing+App+Website+Full Suite)
3
LEGAL NAME* This field is required.Please enter the Legal Name of the Organization that is building this profile
4
Email* This field is required.
example@example.com
5
Phone Number* This field is required.
Area Code
Phone Number
6
MANAGER OR OWNER
Please Select
Please Select
OWNER
MANAGER
7
BUSINESS FORMATION TYPE?* This field is required.
Please Select
Please Select
SOLE
LLC
C CORP
S CORP
LLP
PARTNERSHIP
8
NAME OF AUTHORIZED SIGNER* This field is required.
First Name
Last Name
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FEDERAL TAX ID #* This field is required.Federal business Tax ID number. (may be same as SSN depending on business size and type.
Section 326 of the USA PATRIOT Act requires financial institutions to verify and record information
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Social Security number.* This field is required.Required because of the Patriot Act and Anti-Money Laundering Act
Section 326 of the USA PATRIOT Act requires financial institutions to verify and record information
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DRIVERS LICENSE* This field is required.Take out your ID and snap a quick picture and upload it.
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VOIDED CHECK FOR DEPOSIT* This field is required.Take out your check and snap a quick picture and upload it.
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Schedule-3D photo shootSelect a date and time below
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Signature* This field is required.Agreement for Merchant Processing Services , 3D software menus and applicable equipment hardware I agree to the following terms: 1. Zero fees for merchant processing integrated into Urhost Checkout software. 2. Service cost rebates up to 375.00 applicable up to 90 Days and separate from Processing agreement. 4. NO CANCELLATION FEE Your financial well-being is of the utmost importance to us, and obtaining your consent for this review is crucial in helping us serve you better. Please be assured that any information gathered will be handled with the utmost confidentiality and used solely to assess your eligibility for certain financial products or services. By signing below, I confirm that I have read and understood the terms of this agreement and consent to a soft credit review to confirm business-related identification. If you agree to this credit review, verify your information by signing below
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