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Light Plan
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Tell Us About Your Company
Name (d/b/a)
Business operating address
City
State
Zip code
Phone number
E-mail
Website
Legal name (registered entity)
same
Same as Name (d/b/a)
Registered business address
City
State
Zip code
same as DBA Address
Same as (d/b/a) address
Tell Us About Your Company
Tax ID number
*
Business start date (Year)
*
Business type
*
S Corp
C Corp
Partnership
Trust / Estate
LLC
Sole Proprietor
Corporation
Business category
*
Beauty and Personal Care
Charities, Education and Membership
Fitness
Food and Drink
Healthcare
Home Services
Entertainment
Pet Care
Professional Services
Retail
Transportation
Other / Not Classified
Technology
Finance
Sub category
*
Auto Repair
Auto Sales
Tire Repair / Sales
Towing Services
Barber Shop
Body Grooming
Brows/Lashes
Day Spa
Ear/Body Piercing
Full Service Salon
Hair Removal/Waxing
Hair Salon
Makeup Artistry
Massage Therapy
Med Spa
Nail Salon
Skin Care/Esthetics
Tanning Salon
Tattoo
Charitable Organization
Instructor/Teacher
Membership Organization
Political Organization
Religious Organization
School
Tutor
Dance
Fitness Studio
Gym / Health Club
Martial Arts
Meditation
Nutrition
Personal Training
Pilates
Rock Climbing
Rowing
Sports Recreation
Stretching
Swimming / Water Aerobics
Yoga Studio
Bakery/Pastry
Bar
Brewery
Casual Dining
Catering
Club/Lounge
Coffee/Tea Cafe
Counter Service Restaurant
Fast Food
Fine Dining
Food Truck / Food Cart
Grocery
Hotel / Resort Restaurant
Ice Cream
Pizzeria
Specialty
Virtual Kitchen
Acupuncture
Anesthesiology
Audiology
Cardiology
Chiropractor
Dentistry
Dermatology
Emergency Medicine
Family Medicine
General Surgery
Genetics
Geriatrics
Internal Medicine
Massage / Physical Therapy
Medical Devices
Medical Lab
Nephrology
Neurology
Obstetrics / Gynecology
Oncology
Ophthalmology
Optometry/Eye ware
Orthodontics
Pathology
Pediatrics
Podiatry
Psychiatry
Psychotherapy
Radiology
Speech Therapy
Telemedicine
Urology
Carpet Cleaning
Electrical Services
Flooring
General Contracting
Tell Us About Your Sales And Products
Monthly credit card sales
*
0 - $10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000 - $200,000
$200,000 - $500,000
$500,000 - $1,000,000
above $1,000,000
Average sale amount
*
Highest sale amount
*
Monthly swiped sales
*
Monthly keyed sales
*
Timeframe for delivery
*
0 - 7 Days
8 - 15 Days
16 – 30 Days
Do customers leave deposits?
*
Yes
No
Do you perform automatic recurring transactions?
*
Yes
No
Refund policy*
*
No Refunds
Exchange Only
Full Refund
Store Credit
Tell Us About The Owner
First Name
*
Last Name
*
Business ownership percentage
*
Please enter a number from
1
to
100
.
Personal Phone Number
Select a date
MM slash DD slash YYYY
Social security number
*
Home Address
*
City
*
State
*
Zip code
*
Tell Us About Your Deposit Information
Bank Name
Bank Account Number
*
Cunfirm Account Number
*
Routing Number
*
Confirm Routing Number
*