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    NEW MERCHANT INFORMATION SHEET

    Please fill out completely and attach a copy of a VOIDED CHECK, Sales Tax Permit & Owner's Driver's License.
    SCAN & EMAIL TO: [email protected]

    BUSINESS TYPE*
    Signing Authority
    Organization DBA
    Organization Legal Name
    TYPE OF BUSINESS*
    BANK NAME (ATTACH VOID CHECK)
    Signing Authority
    For a nonprofit signing authority with no ownership, enter 0.
    ENTITLEMENTS
    VOLUME
    NOTES