Yocale Pay Application Form

Yocale Pay Integrated Application Form
Thank you for choosing Yocale Pay.

We're excited to help you upgrade your businesses payment processing with our new POS technology and merchant services. Please fill out the form below with your business information and contact details. Our team will review your application and get in touch with you shortly.

We look forward to servicing your business!
Business information
Business legal name*
Business operating name*
Business phone number*
Please enter a valid phone number.
Business GST / TIN #*
Contact Person Name *
Contact person phone number*
Please enter a valid phone number.
Business Nature*
Business Type*
Email address*
example@example.com
Website address
example.com
Previous Processing Company (if any)
Business start date*

MonthDayYear
Date
Business address*

Street Address

Street Address Line 2

CityState / Prov

Zip / Postal Code

If there is a 2nd business owner with greater than 25% ownership, please complete this section:
2nd Owner - Name

First NameMiddle NameLast Name
Second Owner - Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Percentage ( % ) of ownership
SIN # / SSN #
Drivers License #

Business Projected Volumes
Average monthly Credit processing*
Total monthly credit/debit processing?
Yearly Credit Volume*
Total monthly credit/debit processing?
Average monthly Debit processing*
Total monthly credit/debit processing?
Average transaction size $*
Max transaction size $*
Highest transaction amount you process?
# of Max size transactions / year
How many max amount transactions do you process/year?
Visa monthly volume
How much Visa do you process/month?
MasterCard monthly volume
How much MasterCard do you process/month?
Interac monthly volume
How much Debit do you process/month?
Amex monthly volume
How much Amex do you process/month?
Accepting Card Types

VisaMasterCardAmerican ExpressDiscoverInterac Debit / Flash

Yocale Pay Integrated Application Form