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Ask About Free Hardware During Your Demo!

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Please feel free to edit any of the entries in the application below.

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Business Information

Owner Information

Processing Information

Banking Information

DBA (Doing Business As)
Ownership and IRS W-9 Information
Prior Business Bankruptcies
Prior Personal Bankruptcies
Receive 1099KStatemnts via secure email
Tax Exempt

Owner / Officer Information

U.S. Citizen/Resident
Is there more than one owner?

First and last name, Title, % Ownership, 

DOB, Email address, Address, Phone number and SSN.

Processing Information

Has merchant ever accepted credit cards before?

If merchant is affiliated with an existing account, please provide Merchant Id #.

Processig Type

If you have questions about either of the processing types please contact your Fuego representative or call us at 1-888-878-

Are you a seasonal client?
Does merchant bill customers prior to goods being shipped?
Does annual AMEX volume exceed $1,000,000?

For restaurants return policy can be "only at time of sale"

How do you advertise?
Processing Methods

The below fields should equal 100% in total.

Tap/dip/swipe, card present.

Card present with imprint.

Card not present.

Card Not Present and/or Mail order/Telephone order.

Banking Information

If available

By signing below I agree to the terms and conditions laid out for using the Fuego POS system. I am submitting this application to accept and process credit cards through a merchant account provided by Tsys and will receive an e-sign application from them once all of my information is confirmed.

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