Sign Up - Submit an Application Online for free POS terminalPBH Canada

Process:
1. Fill out the form in its entirety.
2. Attach supporting documents (void cheque, business license, utility or phone bill for business location or your home office address under your name or business name.
3. Within 24 hours, expect to see a document from DocuSign in your email inbox to sign.

Terminal 1 :

How many :

Terminal 2 :

How many :

Terminal 3 :

How many :

Company legal name :

Company operating as name :

Company Full Address:

City :

Province:

PostalCode:

Company phone:

Company fax:

Company email:

Company web site:

Description of products and services sold:

Company GST/HST tax number:

When started the business:

Projected $ monthly volumes:

Average $ sale (ticket size):

Void Cheque (in jpg/png/pdf format) + business license + utility or phone bill:

Click or drag a file to this area to upload.

Owner first name:

Owner last name:

Owner Full Address:

City :

Province:

PostalCode :

Owner home or cell phone number:

Owner date of birth :

Percent of company ownership (%):

SIN number:

Promo Code:

Name

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Sign Up - Submit an Application Online for free POS terminal

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