Account Maintenance Forms

EDGE Special Price Request Form

May 7, 2020

New EDGE Special Pricing Request Form (with the new percentage).

EPX EDGE New Account Set Up Form

Jan 30, 2020

Must be submitted with all new EPX EDGE accounts using a Dejavoo terminal.

EPX Pre-Filled Out Account Set Up Form

Feb 18, 2020

Must be submitted with all new EPX EDGE accounts NOT using a Dejavoo terminal.

Payanywhere Free Merchant Placement Form

Jul 13, 2020

A free placement form for all of Payanywhere's Smart Devices.

ACH Form

Jan 27, 2020

CBD Questionnaire

Mar 9, 2020

This will be required for any CBD account submission.

EPX 1 yr Contract Amendment

Jan 24, 2020

Required to reduce the terms of the contract to 1 year.

EPX 2 yr Contract Amendment

Jan 24, 2020

Required to reduce the terms of the contract to 2 years.

EPX Month-to-Month Contract Amendment

Jan 24, 2020

Required when offering a month to month agreement with no cancellation fee.

FD 130 Free Placement Form

Jan 27, 2020

Required form when providing a Free FD 130 terminal.

Free Ingenico iCT 220 Placement Form

Jan 24, 2020

Required when providing a Free Ingenico iCT220 terminal. (Only available on EPX)

Free Vx520 Terminal Form

Mar 12, 2020

Free terminal placement form, requires signature from merchant.

Free Vx680 Terminal Form

Mar 12, 2020

A form to place the Verifone Vx680 for free.

Global No Termination Fee Amendment

Jan 24, 2020

Global No Termination Fee Amendment

Merchant Address Change Request Form

Jan 24, 2020

Required when a merchant is updating their DBA address.

Merchant Bank Account Update Form

Jan 28, 2020

Required form to be included with a voided check or bank letter in order to update a current merchants bank account.

Special Price Request Form - EPX

Jan 29, 2020

A special price request specifically for the EPX platform.

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