Common Contracts
2 similar Operator Agreement contracts
ATM Operator Agreement and/or ATM Source of Funds Provider Declaration AgreementOperator Agreement • February 12th, 2013
Section A Terminal Deployment Location 1. Name of Location (Doing Business As) 2. Physical Street Address of Location 3. City, State, Zip of Location 4. Location Phone Number 5. Business Tax ID Number of merchant 6.Type of Business (Sole Proprietor, Partnership, LLC, Corporation, Financial Institution) 7. Merchandise/Services Sold where terminal is deployed 8. Financial Institution Number (FI#, FDIC, NCUA, ASI) Section B Deployed Terminal Information 9. Terminal Identification Number 10. Processor of deployed terminal Section C Applicant is an Individual 11. Applicant First Name 12. Applicant Last Name 13. Applicant (Home) Physical Street Address 14. Applicant (Home) City, State, Zip 15. Applicant Social Security Number 16. Applicant Date of Birth (mm/dd/yyyy) 17. Applicant Drivers License (Passport) Issuance Date 18. Applicant Drivers License (Passport) Expiration Date 19. Applicant Drivers License Number (Passport Number) 20. Applicant Drivers License Issuing State (Passport Issuing
ATM Operator Agreement and/or ATM Source of Funds Provider Declaration AgreementOperator Agreement • February 12th, 2013
Section A Terminal Deployment Location 1. Name of Location (Doing Business As) 2. Physical Street Address of Location 3. City, State, Zip of Location 4. Location Phone Number 5. Business Tax ID Number of merchant 6.Type of Business (Sole Proprietor, Partnership, LLC, Corporation, Financial Institution) 7. Merchandise/Services Sold where terminal is deployed 8. Financial Institution Number (FI#, FDIC, NCUA, ASI) Section B Deployed Terminal Information 9. Terminal Identification Number 10. Processor of deployed terminal Section C Applicant is an Individual 11. Applicant First Name 12. Applicant Last Name 13. Applicant (Home) Physical Street Address 14. Applicant (Home) City, State, Zip 15. Applicant Social Security Number 16. Applicant Date of Birth (mm/dd/yyyy) 17. Applicant Drivers License (Passport) Issuance Date 18. Applicant Drivers License (Passport) Expiration Date 19. Applicant Drivers License Number (Passport Number) 20. Applicant Drivers License Issuing State (Passport Issuing
