Name of who is completing this form
Please include Corp, INC, LLC, etc...
Please double check that this is correct.
Please list the individual first and last name
Please list an additional beneficial owner's first and last name (if applicable)
Please share the first/last name and email for who you'd like AeroPay to contact for refund/order confirmations.
We'd love to promote your business on our social media accounts!
This address should be associated with the EIN/TIN
We will create one 'Scan to Pay' QR Code per POS.
This will be used to create your custom QR Code materials.
We will be shipping your QR Materials via USPS.
Required for cannabis businesses, disregard if your business is CBD
The business name on the check needs to match the company name associated above and with all licenses.
Your bank routing number is a nine-digit code that's based on the U.S. Bank location where your account was opened. It's the first set of numbers printed on the bottom of your checks, on the left side.
Your account number (usually 10-12 digits) is specific to your account. It's the second set of numbers printed on the bottom of your checks, just to the right of the bank routing number.
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