MyVPOS | Reseller Sign Up

Reseller Sign Up

Address

Address 1

Address 2

City

State

Post Code

Customer Service

Phone

Ext.

Fax

Website

Contact Information

Phone

Ext.

Alternate Phone

Ext.

This will be your MyVPOS login email.

Alternate Email

Fax

Gateway Information

Are you a current gateway reseller?

YES No

No gateway option selected

Check any of the above options to set up a gateway option.

Processor Information

Processor/Bank/MSP Name

Processor ID

Processor/Bank/MSP Contact Name

Registered Reseller/ISO/MSO Name

Billing Information

Payment Options

Credit Card ACH None

Card Holder Name *

Card Number*

CVC

Expiration(MM/YYYY) *

Check Name *

Routing Number *

Account Number *

Check Number *

No payment option selected

Check any of the above options to set up a payment option.

Reseller Sign Up

Company Information

Address

Customer Service

Contact Information

Gateway Information

No gateway option selected

Billing Information

No payment option selected