New Client Application

Date: (MM/DD/YY)

# Of Locations:

New Account:

Time Zone

DBA:

Tax ID: (EIN #)

Business Address:

Street:

City:

State:

Zip:

Year Established:

Corporate Name: (If different than DBA)

Contact Name:

Business Phone:

Fax #:

Corp. Phone the same
 Yes No

Email:

Mail Statements to:
 Business Address Corp Address

Principal Information
(Who is responsible for the account, Corp officer)

Name:

Title:

Home Address:

City:

State:

Zip:

Home Phone #:

If you have your own Merchant number, please provide the Merchant ID number and the the name of your processor. We will verify if it is compatible with the Spire Solution

Processor: Merchant ID:

Comments or Questions?:

What Spire solution will you be utilizing? (Please select one)

*Spire Express
(The basic Spire solution, just processing sales of goods)

*Spire Portal
(The Spire Solution using our Portal for card processing and your software for the management of the event)

 Spire Express Spire Portal

Did you have an event in prior years? If so, can you tell us the approximate amount raised?
 Yes No

Approx $ Raised?

How many units will you need?
(We recommend 1 unite per 100 expected attendees)

What is the date of your event?

What is the address of your event?

Street:

City:

State:

Zip:

Contact phone number for the facility:

Have you verified if the location where you are hosting you event has a cell signal or access to a WIFI signal?
 Yes No

Is your organization a 501C3?
 Yes No

If so, do you have access to the 501C3 document? (We may need to obtain a copy to set up the account)
 Yes No

With the completion and return of this information, we will be able to generate the application documents.

Please let us know how you would like us to return the application document?
 Email Fax

Please scan and upload a voided company check:

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Spire Payment Solutions is a registered MSP/ ISO of US Bank NA.