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Merchant
Submission Form
Business Legal Name
*
Federal Tax ID
*
Business DBA Name
*
Business Type
*
Full Business Address
*
Business Phone
*
Business Email
*
Full Name
*
Full Residence Address
Owner Phone
*
Date of Birth
*
Month
Day
Year
SSN
Owner Email
Bank Name
*
Type of Account
Bank Account #
*
Bank Routing #
*
Average Monthly Volume
*
Average Ticket
*
Merchant Type
*
Type of Equipment Requested:
*
Pricing
*
Equipment Ownership
*
Placement - 3-Year agreement
Purchase - Invoice
Backup Terminal Requested?
*
Yes
No
Please send us a copy of the owner Driver´s License
*
Upload File
Please send us a copy of a voided check(PDF, JPG)
*
Upload File
Please send us copy of recent processing statement(PDF, JPG)
*
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Home
Solutions
Merchant Services Outsourcing
ATM Outsourcing
ATM Management Services
Off-Site ATM Management
Who We Serve
Financial Institutions
Referral Partners
Why Star
Resources
About Us
Contact Us
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