New Merchant Pre-Application Form:

New Merchant Pre-Application Form:

Welcome to Aladdin Processing, let's take care of your payment needs!
Merchant Details:

DBA Information
Name:*

First NameLast Name
Business Name (DBA or Trade Name):*
Business Phone Number:*
Please enter a valid phone number.
Email Statements To:*
example@example.com
Contact Phone Number:*
Please enter a valid phone number.
Business Website:
Date Open:*

MonthDayYear
Date

DBA Address/Legal Information
Business Legal Name:*
# of Locations:
Business Legal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner Information
Owners:

*All signers must collectively own at least 25% of the company to continue.
Full Name:*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Percentage of Ownership:*
Email: (used for DocuSign)*
example@example.com
Cell Number: (used for DocuSign)*
Please enter a valid phone number.
Personal Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Driver's License #:*
Driver's License State*
Social Security Number (SSN)*
State of Incorporations:*

Business Tax Information
EIN (Fed Tax ID #)*
Merchant Category Code:
Business Type:*
Type of Service Offered:

Business Financial Information
Bank Name:*
Account Type:*

SavingsChecking
Bank Routing #:*
Bank Account #:*

Solutions

Now it's time to pick your new system!
Solution you are requesting for:

Interchange Plus0% ProcessingDual-PricingTiered
Here are a few of our options! Please contact your sales rep for all other devices.
Categories:All

All

Clover

Dejavoo

NCR

Pax

Verifone

Ingenico
prevnext( X )
Clover

Clover Go
$100.00 Quantity



Clover Flex
$627.00 Quantity



Clover Mini
$823.00 Quantity



Clover Station Solo
$1,220.00 Quantity



Clover Kitchen Display
$525.00 Quantity



Clover Duo
$1,846.00 Quantity



Dejavoo

Dejavoo P1
$260.00 Quantity



Dejavoo P3
$360.00 Quantity



Dejavoo P5
$260.00 Quantity



NCR

NCR PX15 POS Terminal
$ Free



NCR CX
$ Free



Pax

Pax A77
$474.00 Quantity



Pax A800
$449.00 Quantity



Pax A920 Pro
$462.00 Quantity



Pax E800
$1,345.00 Quantity



Pax Q30
$339.00 Quantity



Pax A35
$365.00 Quantity



Verifone

Verifone M400
$669.00 Quantity



Verifone MX915
$305.00 Quantity



Verifone P200
$180.00 Quantity



Verifone P400
$180.00 Quantity



Verifone V400M
$495.00 Quantity



Ingenico

Ingenico Lane 3000
$515.00 Quantity



Ingenico Lane 5000
$499.00 Quantity



Ingenico Lane 7000
$675.00 Quantity



Ingenico Link 2500
$410.00 Quantity



Ingenico Move 5000
$599.00 Quantity



Ingenico Desk 3500
$255.00 Quantity



Total

$0.00
What's next?
NEXT STEPS

Within the next 24 hours, you will recieve a Docusign from our payment partner!

Once signed, your requested equipment will be delivered! From there, you are a part of the Aladdin family.
Should be Empty:

New Merchant Pre-Application Form:

DBA Address/Legal Information

Owner Information

Business Tax Information

Business Financial Information

Sales

Sales Distribution

Solutions

What's next?