The Signature Page (v.0420) is required by the card associations (Visa, MasterCard, American Express, and Discover) in order to obtain a merchant account.
Please follow the instructions before completing the Signature Page.
TOP SECTION - SUBSTITUTE FORM W9
Velocity prefers to complete this section for you to ensure that it is 100% accurate. Please leave this section blank, or verify the accuracy as the data contained in this section must match exactly with IRS records.
SECTION 5 - COMPANY REPRESENTATIONS
By signing this section, you agree to the terms and conditions of Elavon. You also authorize Velocity to obtain a new merchant account for you. Additions, modifications, or deletions of this documents is strictly prohibited.
SECTION 6 - PERSONAL GUARANTEE
Do not sign this section unless you have been advised to do so by Velocity. Most business will provide financials in lieu of having to sign a personal guarantee.
SUBMITTED BY (INTERNAL USE ONLY)
Please leave this section blank. This will be completed by Velocity.
Velocity Processing is a registered Independent Sales Organization (ISO) / Member Service Provider (MSP) of Elavon, Inc. Georgia, a wholly owned subsidiary of U.S. Bancorp, Minneapolis, MN. Elavon has been processing electronic payments for 37 years and maintains an "A+" rating with the Better Business Bureau.