Deployment Instructions
Onboarding
BUSINESS DBA
Legal Name
DBA
Agent Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Equipment
Merchant Loaner
Merchant Purchase
Agent Purcahse
FMS Agree to Purcahse
Special Rental
Special Free Equipment no Loaner
Lease
Virtual Terminal Does not Apply
Not applicable
Software Play
Software Integration
Not applicable
Equipment Type
Clover Flex
Clover Mini
Clover Station Solo
Clover Station Duo
Clover Kiosk
Clover Go
Clover Compact
Valor vp100
Valor VP550
Dejavoo QD2
DejavooQD5
Valor VP00
SWIPI SIMPLE
PAXA90
OTHER ( Please Comment
Virtual Terminal
How many terminals
Virtual Terminal
Please Select
Auth.net
Biller Genie
NMI
Fluid Pay
Other
Auto Batch Time
Hour Minutes
AM
PM
AM/PM Option
Connectivity
Please Select
WIFI
IP
Landline
Does not apply
LTE Sim Card
Portfolio Options
Please Select
07381
07382
08311 Disney
Worldpay
PCS- NORTH
08571- No Upfront No equipment
MR07690- Mid Risk, Smoke
Goat- High risk
Program Pricing
Please Select
Interchange
Flat Rate
3 Tier
Cash Discount
Surcharge only- No Debit
Special Instructions
Rate
Installations Instructions
Ship to Merchant
Ship to Office - Office Install
Ship to Office- Agent will Pick up
Reprovision Merchant has Terminal or Agent
Ship to Agent- Agent will install
Does not Apply
Language
English
Spanish and English
Portguese
No English or Spanish
Mandrain
Clover Service Plan
Please Select
Basic 0.00
Essentials 29.95
Retail Service 84.95
Counter Service 84.95
Table Service 89.95
Does not apply
Shipping Methods
Overnight
2 Day
Not applicable
Ground
Additional Notes
Submit
Should be Empty: