NUVO MERCHANT SERVICES NEW ACCOUNT SETUP
Please complete the following information. At the bottom of the form you may click SUBMIT FORM to send information electronically or click PRINT FORM. (If printing, you will need to fax completed form and documentation to 407.641.9045 OR scan and email to mitch@nuvocompany.com)
Mailing Address
Legal Business Name
*
Tax Filing Name
*
EIN Number
*
Tax Filing State
*
Street Address
*
City
*
State
*
Zip
*
Phone
*
Email
*
Contact Person
*
Website Address
Owner's Information
Owner Name
*
Owner's Date of Birth
*
Owner's Social Security Number
*
Owner's Street Address
*
City
*
State
*
Zip
*
Physical Location Information
DBA Name (if any)
Street Address
*
City
*
State
*
Zip
*
Phone
*
Fax Number
Business Start Date
*
Monthly Volume Estimate $ (Visa/MC)
*
Average Ticket
*
High Ticket
*
Additional Information
Software used (if applicable)
Credit Card Equipment Type & Model (if applicable)
Do you require an automatic batch? If yes, what time would like to batch out each day?
Would you like to accept AMEX?
Yes
No
New Account Verification
Upload a copy of current occupational and/or business address or utility bill showing business address
Upload a File
Cancel
of
Upload a copy of a voided check or letter from the bank to verify your banking information
Upload a File
Cancel
of
Submit or Print Form
Once completed, you may click SUBMIT FORM ELECTRONICALLY or PRINT FORM. (If printing, you must fax completed form and documentation to 407.641.9045 OR scan and email to mitch@nuvocompany.com)
SUBMIT FORM ELECTRONICALLY
Print Form
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