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QUALIFY

Promo Code
Legal Name
DBA/Outlet Name*
Contact Name
Business Phone Number
Type of Business
Corporate Address
Street Address City State / Province / Region ZIP / Postal Code Country
DBA Mailing Address (if different from above)
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
Website
Business start date
MM slash DD slash YYYY
HST Number / TIN Number
Business Summary:
Please provide a brief summary of your core service and/or product
Attach Driver’s Licence
Max. file size: 516 MB.
Attach Void Cheque
Max. file size: 516 MB.
Attach Articles Of Incorporation
Max. file size: 516 MB.
Attach Processing Statements
Max. file size: 516 MB.

First Principal
First Middle Last
Title
Social Insurance Number
Date of Birth (mm/dd/yy)
MM slash DD slash YYYY
Phone
% Ownership
Home Address
Street Address City State / Province / Region ZIP / Postal Code Country
Choose processing category*
Visa/MasterCard credit application: $50

Gateway fee: $19.99 / month, plus $0.16 per transaction

Visa Base rate: 1.40% plus $0.05 auth fee

MasterCard Base rate: 1.10% plus $0.05 auth fee

Card Brand rate: 0.25%

Non-Qualified rate: 0.25%

Credit Account admin fee: $5.00 / month

PCI Security Fee: $6.95 / month
Enter MOTO/Internet sales %*
Enter Chip & Pin transactions %*
Visa Monthly Volume*
MasterCard Monthly Volume*
Average Credit Transaction Size*
All Cash & Card Sales*
Visa Credit*
Per transaction*
Visa Debit*
Per transaction*
Visa Card Brand Fee*
Mastercard Credit*
Per transaction*
Mastercard Debit*
Per transaction*
MC Card Brand Fee*
Discover/Diners*
Per transaction*
UPI Debit*
Per transaction*
Please choose following:
- Interac Debit
- Interac Flash Opt IN
POS type (Terminal model)*
Type Terminal Model (Optional)
Rent/Lease/Purchase*
Price*
Is this a SkyTab POS Upgrade?*
Existing Shift4 Merchant moving from Legacy software to SkyTab POS
POS or Standalone Merchant?*
- SkyTab POS/Legacy POS (RM/POSi)
- Standalone – Non-Integrated (Solo)
- 3rd Party POS/PMS Solutions & Standalone (Solo)
Choose POS Bundle*
- SkyTab POS Bundle* - 29.99/month
- Legacy POS Bundle* -29.99/Month
POS bundles include a POS terminal, cash drawer, printer and credit card processing device.
POS Bundle QTY*
Amount of Cash Drawers Needed*
Each POS bundle comes with a Cash Drawer. If all cash drawers are needed type "All". If less drawers are needed put QTY. QTY cannot exceed to amount of POS Bundles.
SaaS prices are billed monthly
Customer-facing Display -39.99/m
Kitchen Display System -39.99/m
Skytab Mobile -19.99/m
Remote Impact Printer -19.99/m
SkyTab Glass -19.99/m
Remote Thermal Printer -19.99/m
4-Line Caller-ID -29.99/m
Digital Scale -39.99/m
Barcode Scanner -19.99/m
Add Cash Drawer -19.99/m
Label Printer -19.99/m
KDS with Bump Bar -49.99/m
Notes About the Terminal
Add Second Principle?
- Yes
Second Principal
First Middle Last
Title
Social Insurance Number / TIN
Date of Birth (mm/dd/yy)
MM slash DD slash YYYY
Phone
% Ownership
Home Address
Street Address City State / Province / Region ZIP / Postal Code Country
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Pre-Qualify

SaaS prices are billed monthly