Campus Cash Merchant Inquiries

Campus Cash Merchant Inquiries

We are accepting inquiries to join our off-campus merchant programs.

All inquiries are subject to campus approval.

Merchant Business Name*

What is the operating name of your business? (As listed on marketing materials, website...etc.)

School Card Program*

Select

Merchant Location Phone Number*

10-digit phone number

Phone

Merchant Business Address - Street 1*

Street address for your operating location

Merchant Business Address - Street 2

Street address of your operating location (suite, floor..etc.)

Merchant Business Address - City*

City of your operating location

Merchant Business Address - State/Province*

State of your operating location

Select or enter value

Merchant Business Address - Zip Code*

Zip code of your operating location

Federal Tax Name*

Tax ID/EIN*

Merchant Corporate Address - Street 1*

Registered street address of your business (as appears on a Form W-9)

Merchant Corporate Address - 2

Registered street address of your business (as appears on a Form W-9)

Merchant Corporate Address - City*

Registered city of your business (as appears on a Form W-9)

Merchant Corporate Address - State*

Registered state of your business (as appears on a Form W-9)

Select or enter value

Merchant Corporate Address - Zip Code*

Registered zip code of your business (as appears on a Form W-9)

Name of Contract Signer*

Who will sign the Merchant Agreement?

Contract Signer Phone Number*

Mobile Phone

Phone

Contract Signer E-Mail Address*

Send me a copy of my responses