SIGNATURE PAGE
The Signature Page (v1020) 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.
QUESTIONS ABOUT THE SIGNATURE PAGE? CALL US AT 305-917-7000
INSTRUCTIONS
TOP SECTION - SUBSTITUTE FORM W9
Velocity Processing prefers to complete this section on your behalf to ensure that it is 100% accurate. Should you elect to complete this section, please verify the accuracy of your legal entity name, tax ID number, and address as it must match the records of the IRS for reporting purposes.
SECTION 5 - COMPANY REPRESENTATIONS
By signing this section, you agree to the terms and conditions of Elavon. You also authorize Velocity Processing 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 Processing. 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 Processing.
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.
Audio Bridge : 872-240-3212
"Visa", "MasterCard", "American Express", "Discover", "OptBlue", "Apple Pay", "VeriFone", "ARB", "CIM", "PulsePoint", "Global Learning Lab", and "CardX" are trademarks and/or service marks of their respective owners.
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