Common Contracts
1 similar Operator Agreement contracts
Merchant Application and ATM Operator AgreementOperator Agreement • December 22nd, 2010
SECTION A – Application: Merchant/ATM Operator Completes Lines 1-10 ** PLEASE PRINT CLEARLY** 1. Name of Location (Doing Business As) 2. Physical Street Address of Location 3. City, State Zip 4. Location Phone Number 5. Location Fax Number 6. Business Tax ID Number 7. Financial Institution Number (FI #, FDIC, NCUA, ASI) 8. Email Address of Business Principal 9. Type of Business (Sole Proprietor, Partnership, LLC, Corporation, Financial Institution) 10. Merchandise/Services Sold SECTION B – Application: ATM Operator Completes Lines 11 - 26 ** PLEASE PRINT CLEARLY** 11A. ATM Operator Principal First Name 11B. ATM Operator Principal Last Name 12. ATM Operator Principal “FULL” Legal Name (if same as 10-11, write “Same”) 13. ATM Operator Principal Home Street Address 14. ATM Operator Principal City, State, Zip 15. ATM Operator Principal Social Security Number 16. ATM Operator Principal Driver License Number, Issuing State and Expiration Date 17. ATM Operator Principal Date of Birth 18. Any
