Hardware Device Ownership Transfer Form
Please fill out the details below to transfer ownership of your hardware device(s). Ensure all information is accurate. Please note that there is a per machine transfer fee. Transfer may take up to 3 business days.
Are you the
Current owner
New owner
Other
Current Owner's Full Name
*
First Name
Last Name
Current Owner's Business Name (if applicable)
Current Owner's Registered Email Address
*
example@example.com
New Owner's Full Name
*
First Name
Last Name
New Owner's Email Address
*
example@example.com
New Owner's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
New Owner's Business Name (if applicable)
Machine ID(s) Being Transferred
*
Card Reader Serial Number (s)
New Owner Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Confirmation that All Outstanding Fees Are Settled
*
Yes, all fees are settled
No, there are outstanding fees
Submit Transfer Request
Should be Empty: