Merchant Add or Update Form


Your Information



Your Name *

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Email Address *

Please enter your email address.
Phone Number (xxx-xxx-xxxx) *

Please enter your phone number including area code.

Business Information



Please select one:

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Business Name *

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Address

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Phone

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Web Address

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Type of Business

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If your type of business is not in the listing above, please enter it here.

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If your business is a restaurant, what type of food do you serve?

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Do you offer wifi?

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Do you accept: (check all that apply)

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Do you have social networking links? (check all that apply)

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If you use other social media, enter it here.

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Enter your social media urls.

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Business Hours

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Other Information

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