
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.
# |
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 |

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
# |
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
# |
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
# |
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
# |
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 |

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

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.
# |
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 |