Merchant Sign Up Form
Business Name
*
Business Phone Number
*
Please enter a valid phone number.
Business Email
*
example@example.com
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Type
*
Which POS system do you use?
*
Do You Accept Credit Cards?
*
Please Select
Yes
No
Login Username
*
Contact Name
*
Contact Phone Number
*
Please enter a valid phone number.
Contact Email
*
example@example.com
Currently Delivering
*
Are you currently delivering now? Yes or No
Delivery Service
*
If your answer above is YES, with whom?
Preferred Delivery Method
Please Select
I don't want to deliver, find me a Driver
Self Delivery for my business, and other businesses nearby (Most Profitable)
Self Delivery for my business only
Facebook Page Link
Instagram Page Link
Twitter Page Link
Logos and Banners
*
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