1

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Personal Information

  • Melissa Perosi
  • melissa.perosi@gmail.com
  • DOB: 11/07/1985
  • SSN: *** ** 6789

Business Information

  • Perosi Pediatrics
  • EIN: 12-3456789
  • 266 Pacific Ave
  • Staten Island, NY 10312
  • melissa.perosi@perosipediatrics.com

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Pricing

  • Monthly Fee: $9.99
  • Card Swiped: 1.49% + $0.19
  • Card Keyed: 1.99% + $0.19
  • Check: $0.29 per item

PCI Annual Fee

$10.00

Processing Rate Card Present

Included

POS Solution Paya Virtual Terminal

Included

ACH Debit Processing

Included

Contract Term

3 years

2

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Bank Verification

Imprinted Bank Check or Bank Verification letter (on letterhead)

Marketing Materials

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Processing Statements

2-3 months of statements

Utility Bill

Showing business address as listed on application

Business License

Showing business name as listed on application

State Tax License

Showing business name and address as listed on application

Bank Statements

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501c Form

Federal tax exemption form of nonprofit organizations

Financial Statements

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Driver's License

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Credit Card Terms & Conditions

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ACH Terms & Conditions

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