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Public Corporation

Questions? reg@fdis-il.com
call 877.595.5252
fax 312.225.5858

 
 
Merchant Information
  • Legal Name of Business
  • 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
Ownership
  • Public Corporation
  • Name of authorized officer
  • Title

Settlement Account

  • Direct Deposit Account (DDA) Bank Name
  • Transit Routing Number
  • DDA Number
  • If Credit Union, Telephone & Contact name needed

arketing Method

  • Average Monthly Volume
  • Average Ticket/Sales Amount

Processor

  • Questions
    Name of Processor
  • Other Criteria
    • Voided Check
  • Additional Documents
    • Articles of Incorporation
    • Documentation of Designated Officer's authority to sign
      on behalf of organization
    • Addendum