For USA, US Virgin Islands, Puerto Rico:

  1. Terminal Setup and Funds Distribution Form - tell us how you want the terminal set up and configured and where the money will go.
  2. ACH Authorization Form - One of these is needed for EACH account that will have any kind of money settling into it, signed by the signer in that account.
  3. A PRE-PRINTED, voided check - one must accompany EACH ACH Authorization form. Must be a permanent check pre-printed with the account number and the name of the account holder. If not available, substitute with an "account verification letter" from the bank (a one sentence letter on the bank's letterhead, signed by anyone at the bank stating the person or company's name, account number and bank's ABA routing number - Example of bank letter
  4. Network Compliance Form - This is a form required by the sponsoring banks and financial networks to prevent fraud.  It is only needed  once from you and for each new ATM owner (such as merchant or third party investor). You do not need to send it with each terminal unless it involves someone we don't yet have on file. You need to fill out all your information and fax it back with a copy of picture ID.  If the merchant owns or leases the ATM, you also need to check their ID and fill out the 2nd half pertaining to them.
    Network Compliance Form Definitions - definitions of the parts of the above form. For tour clarification. Does not need to be sent in.
     

For Canada:

  1. Exhibit B (ACH Authorization) - One of these is needed for EACH account that will have any kind of money settling into it, signed by the signer in that account.
  2. Exhibit C (Terminal Activation form)

  If you can not open the downloaded .PDF files, download and install the free Adobe Acrobat Reader HERE.

the company, Inc. - 1999