Application - Menio Global, LLC

Legal Business Name

Location Physical Address (no PO Box)

CIty

State

Zip

Business Phone

Age of Business ( Start From EIN Est. Date)

Website (if Using It to Process Payments:)

Tax Filing Name (Legal Name)

Are you a non profit?

Yes

DBA (if different than your legal name)

Mailing Address (no PO Boxes)

CIty

State

Zip

One Additional Authorized Representative

Mobile Number

Contact Email

EIN Federal Tax ID Number

Are you a Gov Agency?

Yes

Ownership Type:

If You are a Non Profit or Tax Exempt Please Upload letters of documentation

Principal First and Last Name

Date Acquired Fed EIN number:

Principal’s Phone Number

Principal Social Security Number:

Principal Full Home Address:

Routing Number

Account Number

Upload Voided Check

Are you using a software or terminal to process?

Yes

Which software or terminal? Be specific

Do you want to Auto Batch or Manual Batch?

Auto Batch

Manual Batch

What time do you want to batch? (if before 2:59pm Est – 24 hr funding)

Do you want to take checks?

Yes

If yes, By?

Phone (Telecheck)

Internet (ICA)

In Person (ECA)

Ownership Percentage

Your Title for this business:

Principal Date of Birth:

Driver’s License Number

Driver’s License State

Driver’s License Exp Date

Describe what your business is/does:

Swiped Transaction Percentage

Keyed Transaction Percentage

How Many Employees:?

Describe your location:

Is Your Business Zoned As?

Coupon Code/ Referral Person

Menio Global, LLC, is committed to safeguarding the privacy and security of the information we collect. This Privacy Statement explains the policies we follow with respect to the handling of customer information collected by Menio Global, LLC. Personally Identifiable Information When you access and/or use this Site, we or our service providers may obtain data concerning that access and use. If you request information from us or register to use any limited access portions of the site you may be asked to provide personally identifiable information about yourself. This data may include, but is not limited to, your name, address and other demographic information, professional data, telephone number, and email address. We will not collect any personally identifiable information about you unless you provide it to us voluntarily. If you opt not to provide us with personally identifiable information, no material consequences will result, although there may be services that may be unavailable to you. Use of Personally Identifiable Information We may store and process your personally identifiable information in order to fulfill any requests for information that you make of us, or to better understand your needs and to learn how to improve our services and products. We may also use your personally identifiable information to contact you (for example, we may send you marketing or promotional materials or other information, we may respond to your comments or requests for information, we may ask you for feedback on products and services or we may contact you if needed in the course of processing your requests). Commitment to Security and Privacy We take seriously our commitment to protect the security and privacy of the information we collect. We have established policies that define our commitment to data security and the information technology we administer. We continually review our policies and procedures to assure that they are appropriate and effective in meeting our commitments to our customers. For purposes of credit reporting, we may share information about you with third parties. We also will disclose information in response to a request issued by a court, government agency, or regulatory authority. Cookies The Menio Global, LLC site may also create a file, or “cookie”, on the hard drive of your computer in order to retain information that is used by our Web site. These files are used during your online session to ensure access to our site is authorized and to control certain parameters of your communication session with our site. We do not use these files to monitor behavior of visitors to our site. Children This Site is not intended for use by persons under the age of 18. If you are under 18, please do not use this site. If parents believe their minor children have accessed this site and provided their personally identifiable information, please contact us immediately at info@menioglobal.com Links to Other Web Sites Menio Global, LLC may provide links on the site to third-party sites that are not under Menio Global, LLC’s control. Menio Global, LLC does not endorse or make any warranty of any type regarding the content contained on such third-party sites. Please be aware that Menio Global, LLC is not responsible for the privacy practices of such third-party sites. Users should be aware that when they leave Menio Global, LLC site, they should read the privacy statements of each and every site that may collect personally identifiable information. Changes to Privacy Policy Because of changes in internet technology and practices, this privacy policy, and our security and other policies may change from time to time. Please consult this portion of the site for important changes to the privacy policy as they occur. Unless otherwise provided in an agreement between you and us, by using the site after we post any changes to this privacy policy, you agree to accept those changes, whether or not you have reviewed them, and such acceptance shall be deemed legally conclusive. If at any time you choose not to accept the terms of this privacy policy, you should not use the site, nor should you provide information about yourself or your business to us.