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 Non-Profit, Associations, Faith-Based Organizations
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Questions? reg@fdis-il.com
call 877.595.5252
fax 312.225.5252
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Merchant Information
- Legal Name of Organization
- DBA
- Street address, City, State, Zip
- Telephone/Fax No.
- Tax ID No. (if applicable)
- Years in Business
- Merchant e-Mail
- Type of Business
- ISP/CSP e-Mail
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Ownership
- Non-Profit
- Name of authorized officer
- Title
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Settlement Account
- Direct Deposit Account (DDA) Bank Name
- Transit Routing Number
- DDA Number
- If Credit Union, Telephone & Contact name needed
Marketing Method
- Average Monthly Volume
- Average Ticket/Sales Amount
Processor
- Questions
Name of Processor
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- Other Criteria
- Additional Documents
- 501c or IRS confirmation of Non-Profit status
- Documentation of Designated Officer's authority to sign
on behalf of organization
- Addendum
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Home | Merchant Solutions | Products & Services | About First Data Independent Sales © 2006 Cardservice International, Inc. All rights reserved. | Privacy Policy
The First Data Independent Sales agent program is operated by Cardservice International, Inc. Cardservice International is a registered ISO/MSP for the following FDIC-insured banks: First Financial Bank, Englewood, CO; Wells Fargo Bank, N.A., Walnut Creek, CA. American Express® and Discover® require separate approval.
FDIS Illinois States is an Independent Agent Office of Cardservice International.
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