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Step 1 of 4
Business Information
All fields marked * are required.
Legal Entity
Required
Required
Enter a valid EIN (XX-XXXXXXX)
Required
Required
Required
Corporate Address & Contact
Required
Required
Required
Enter a valid 5-digit ZIP
Enter a valid phone number
Enter a valid email
Location Address
Business Profile
Ownership Structure * select one
Industry * select one
Required
Required
Equipment
PAX A920
Android · WiFi + 4G · NFC · EMV
New Order · Included with setup
Ship Terminal To * select one
Step 2 of 4
Owner Information
Primary owner or guarantor details. All fields are required.
Primary Owner
Required
Required
Required
Required
Required
Required
Enter a valid 5-digit ZIP
Enter a valid email
Enter a valid phone number
Enter a valid SSN (XXX-XX-XXXX)
Enter date as MM/DD/YYYY
Banking Information
Required
Enter a valid 9-digit routing number
Required
Step 3 of 4
Sales Profile
Your processing volume and transaction breakdown.
Volume & Tickets
Required
Required
Required
Merchant Pricing
Enter the agreed flat processing rate and monthly service fee for this merchant. Neither is preset.
Enter the agreed rate
Enter the agreed monthly fee
Standard fees remain: statement $10/month; PCI $9.99/month; PCI non-compliance $29.99; chargeback $10; retrieval $15; TIN mismatch $49.99; ACH reject $25; ETF $295. These are additional to the monthly service fee.
Applications are sent unsigned for review. Signing is handled separately.
PAX A920 Terminal
Android · WiFi + 4G · NFC/Contactless · EMV Chip
Setup fee: $0 waived · No lock-in contract
Step 4 of 4
Document Upload
Please upload the required documents to complete your application.
✅
Application Submitted!
Your application has been submitted successfully. A member of the PushPOS team will be in touch within 1–2 business days.