IT Service Request Form (#5) Card Processing & Online Checking Account UBI License: 605349086 ISO # 77155 Please fill out this form for our sales team to contact you shortly. Please sign the DocuSign form docs Check Email Program Credit Card Processing: Zero Fee Program Free Equipment Monthly Software Fees $ 49.99 Statement Fee: $ 10 Setup Terminal $ 49.99 Setup POS: $ 169 PCI Options Monthly or Yearly Banking Services Free Online Checking Account No Monthly Fees Free ACH next day transfers Free Business Debit Cards Free Virtual Debit Cards Checking Account Activation Bonus 1% Cash Back on Spending on Debit Card! NEW 2% APY Deposit paid Monthly up to $250k FDIC Insured Say goodbye to waiting in line at a branch Required Docs Image Owner Drivers license EIN Confirmation Letter from IRS +: Articles of Incorporation (OR) Articles of Organization (OR) Certificate of Formation Business Sales Tax, Business Permit or license Business Bank letter or Voided Check Currently processing? Include Processing Statements First NameLast NameDate of BirthSocial Security # or ITINPersonal PhoneDrivers License#Business NameFederal tax id (EIN)Percentage Ownership50%100%Business DBA - If no DBA Leave BlankYears in business or monthsBusiness AddressBusiness PhoneBusiness EmailPlease selectOwnerPresidentManagerBusiness websiteBusiness Industry- Select -RetailRestaurantFast foodSalonHospitalityFashionPet StorePet shopMedicalBarbershopProfessional ServicesSupermarketBakerySupermarketMeat MarketOnline StoreOtherBank NameBank Routing NumberBank Account NumberPreferred - Equipment- Select -Regular terminal Wifi/EthernetWireless Terminal 4GPOS with cash drawerI consent to have this website store my submitted information so they can respond to my inquiry YesSubmit Request