forms

Merchant Account Setup Forms

These forms set up a merchant account. They must be completed by the merchant and the ISO, signed and submitted to SignaPay for the account to go live.

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Form Name

Description

Download

1

Merchant Application

Completed by merchant and agent and submitted by fax or mail.

Download

2

Photo & Voided Check Form

Should be submitted with merchant application. Must include a voided check and either a Business Certificate, Marketing Materials, or photos of the inside and outside of retail location, depending on the type of merchant.

Download

3

Equipment Order Form

Should be used in conjunction with the Merchant Application if new equipment is being ordered.

Download

4

Download Setup Form

These forms are used together to purchase and set up processing equipment. They require information about both ISO and merchant, and can be faxed, mailed, or submitted electronically.

Download

5

Merchant Maintenance Form

Merchant receives equipment support and supplies on a regular basis.

Download

6

Merchant Operating Guidelines

These forms explain the merchant operating guidelines.

Download

forms

Additional Services Forms

These forms are to be used whenever a merchant would like to add a product or service to his processing account, order supplies, or apply for a cash advance.

Accept All Forms of Payment

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Form Name

Description

Download

1

Debit Addendum

Allows the merchant to process debit transactions.

Download

2

EBT or Electronic Benefits Transfer

Allows the merchant to accept EBT transactions, representing most government programs.

Download

3

Electronic Checks

Allows the merchant to process check payments electronically.

Download

Through All Networks

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Form Name

Description

Download

1

MOTO Addendum

Mail Order/Telephone Order Addendum

Download

2

Wireless Addendum

Used when ordering a wireless terminal.

Download

3

Gateway Setup Form

Use this form when setting up either PC based software terminal, or for eCommerce.

Download

Business-Boosting Programs

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Form Name

Description

Download

1

Gift Cards

Merchants order their own personalized gift cards.

Download

2

Rewards Program

Returns a merchant-designated portion of the sale to the customer.

Download

3

SuperMarket Incentive Program

For supermarket merchants.

Download

Get A Cash Advance

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Form Name

Description

Download

1

Cash Advance Application

Puts cash into a merchant's account to help fund growth.

Download

2

Cash Advance Check List

A simple checklist of the information needed to get a cash advance.

Download

forms

Change Forms

When something happens that requires a change to the original merchant application and set up, these forms formalize that change.

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Form Name

Description

Download

1

Change of Bank Account Request

Must include a voided check from the new bank account.

Download

2

Additional Location Form

When the specifics of the current merchant processing agreement will apply to a new location, this form is used to add that location.

Download

3

Swipe/Non-Swipe Addendum

This form may be required if a merchant is submitting non-swiped transactions.

Download

4

Merchant Reserve Acknowledgment

Must be signed by the owner or president of a business if a reserve account must be created to protect continued processing.

Download

5

Cancellation Request

Merchant requests that his processing account with SignaPay be canceled.

Download

6

Merchant Change Request Form

Merchant requests a change in business name, location or contact information.

Download

forms

Sales Office Forms

Here you will find helpful information on pricing, equipment and VIMAS, as well as forms which may be required in order for us to process some of your merchants.

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Form Name

Description

Download

1

Underwriting Guidelines

An easy-to-use reference that shows what documentation is needed to set up different kinds of merchants.

Download

2

Equipment/Terminal Matrix

Equipment certified and provided by SignaPay.

On the TSYS platform.

Download

On the Paymentech platform.

Donwload

3

Liability Agreement

Must be signed by the agent if underwriting guidelines are altered for a merchant based on a separate agreement.

Download

4

NetConnect Setup Form

Allows the merchant to connect his terminal to a DSL. Submitted by agent/office. Fee involved.

Download

5

PinPad Encryption Form

Registers a pin pad to accept debit processing. Submitted by agent/office. Fee involved.

Download