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 ( Not Recommended
08571- No Terminal or upfront Best Rev Share
08311 Disney
Worldpay
PCS- NORTH
MR07690- Mid Risk, Smoke
Goat- High risk
Program Pricing
Please Select
Interchange
Flat Rate
3 Tier
Cash Discount
Surcharge only- No Debit
Rate
Special Instructions
Installations Instructions
Ship to Merchant
Reprovision Merchant has Terminal or Agent
Agent to Install- Ship To Agent
Agent to Install -Agent Pick up
Nothing to Ship
Office to Install In House
Ship To Office- Office Install- Clover Station , Kiosk Ex
Language
English
Spanish and English
Portguese
No English or Spanish
Mandrain
Clover Service Plan
Please Select
Basic 0.00
Basic 0.00 add 9.95 Dual Pricing App
Essentials 29.95
Retail Service 84.95
Counter Service 84.95
Table Service 89.95
Does not apply
Shipping Methods
Overnight To Merchant
2 Day
Not applicable
Ground
Office To Install From Inhouse Loaner
Additional Notes
Submit
Should be Empty: