Onboarding Intake - Deluxa Payments

Business DBA(Required)

Business Legal Name(Required)

Business Full Address (street, city, state, zip)(Required)

Legal Full Address (Optional)

Business Phone(Required)

Business Email(Required)

Federal Tax ID # / EIN(Required)

Type of Business(Required)

Date Business Started(Required)

Owner First and Last Name(Required)

Title(Required)

Ownership %(Required)

Owner Cell Phone(Required)

Home Full Address (street, city, state, zip)(Required)

Social Security #(Required)

Date of Birth(Required)

Average Yearly Credit Card Volume(Required)

Highest Ticket Amount(Required)

Average Credit Card Ticket(Required)

What % of sales are over the phone or online

What kind of terminal, POS or Gateway you will use?

Does the terminal need to calculate taxes?

Yes

No

Does the terminal need to be mobile?

Yes

No

Does the merchant take tips?

Yes

No

Installation Instructions:

Tech install at the location

Ship to Merchant and help over the phone

Online Only

Additional Notes