Have questions? We're here to help!
We would be happy to personally walk you through the application over the phone and answer any questions you have in real time. Click here to choose a time.

If you prefer, you can also just call us at 888-871-7163 or email us at hello@discountpayments.ca.
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Who are we speaking with?

What's the best number to reach you personally?

What's the best email to reach you personally?

What's your position in the business?

Type of Service
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About the business

Please fill in the details below.

Ex. 1234567 Canada Inc. If your business is a Sole Proprietorship, the legal name is the owner's name.

The nice sounding name people know you as. Ours is, of course, Discount Payments.

A brief explanation of the core service(s) and/or product(s) offered.

If you are a Sole Proprietorship, this is your home address.

Where do you operate your business out of? You may leave this blank if it is the same as the legal address.

What is the business phone number?

What is the business email? (where you'd like statements and official communications to go)

Does the business have a fax number?

What is the business website? You may also put your Facebook page or something else if you don't have your own site.

Ex. 09/2020

A ballpark of all cash and card sales, for example $500,000. (does not need to be exact)

Ex. $100

Ex. $500

Contact Details
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Accepting Payments

Choose your setup and tell us a bit about
your business' processing behaviour.

Fill in only what applies to you, ignore the rest.

Choose this to connect WooCommerce, Ecwid, all other shopping cards, Invoicera, simple payment forms, etc. Don't worry, we'll discuss your exact setup after you submit the application.

Would you like a travel kit with the Clover Flex? Includes carrying case and charging cable. Enter number of travel kits. ($40/each)

Each setup (incl. 2 machines) requires a tethering cable ($20 purchase) and will be added for you.

Would you like any accessories for your Clover Mini setup?

What percentage of the sale is paid in advance?

On average, how long from date of payment for delivery/fulfillment?

Check all that apply

Ex. 9pm ET

Written Content
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Attachments

Principals must jointly represent at least 51% ownership in the business.

Driver's licence or passport. (reach out if you don't have either of these)

Max file size 10MB.
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Ex. President, Vice-President, Director, Owner, etc.

The best number to reach them.

Where would you like the DocuSign sent for e-signature?

Optional only if 1st Principal represents at least 51% ownership.

Driver's licence or passport. (reach out if you don't have either of these)

Max file size 10MB.
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fileuploaded.jpg
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Ex. President, Vice-President, Director, Owner, etc.

The best number to reach them.

Where would you like the DocuSign sent for e-signature? (must be different from 1st Principal's email)

Optional only if 1st & 2nd Principals represent at least 51% ownership.

Driver's licence or passport. (reach out if you don't have either of these)

Max file size 10MB.
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fileuploaded.jpg
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Ex. President, Vice-President, Director, Owner, etc.

The best number to reach them.

Where would you like the DocuSign sent for e-signature? (must be different from 1st & 2nd Principals' emails)

Void cheque from the business where you'd like your deposits sent. No starter cheques allowed. Generated PDF void cheque from your online banking is OK, as are direct deposit or pre-authorized debit forms.

Max file size 10MB.
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fileuploaded.jpg
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Business license, incorporation papers, statement from current processor, photo of storefront, etc. Whatever you'd like to provide could help expedite things as we may need to ask later.

Max file size 10MB.
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fileuploaded.jpg
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Max file size 10MB.
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fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Max file size 10MB.
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fileuploaded.jpg
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Max file size 10MB.
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Illustrations & Photography
Comments

Don't worry, you will get sent the official application to review before you digitally sign. On it you will see the rate from your instant quote as well as the lack of any monthly fees at all (excluding equipment).

Also, we will be reaching out after you submit this form. If you have any questions you will get a chance to ask them.

Thank you!

Confirmation
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