ODs on Finance Merchant Service
133 2nd Street, Los Altos, CA 94022
📧 merchant@odsonfinance.com
Merchant.ODsonFinance.com
TEXT 📲 650-405-3778
🖥️
https://calendly.com/merchantodof
Merchant Services Application (Secured)
Please fill out information PRIOR to our GOOGLE MEET. This is NOT a final application submission, a final E-Signature will be sent out for your approval after our onboarding call. Remember to Schedule an 30mins Application if you have not done so 🖥️ https://calendly.com/merchantodof
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Primary Contact
*
Contact Email
Cell Phone Number (Text Notifications)
*
(Personal phone, not work)
Format: (000) 000-0000.
Email
*
example@example.com
Type of Merchant Application based on quote sent
*
Please Select
Low-cost interchange rate (Most Common)
0% Credit Card via 3% Surcharge (Only available in certain states)
*If a surcharge application is needed, please email merchant@odsonfinance.com for surcharge quote prior to meeting. For more information, visit https://merchant.odsonfinance.com/free-0-credit-card-processing/
Business Information
Legal Name
*
Legal Company Name (Must be spelled exactly on IRS Form)
DBA Name
*
DBA will be your Office Name: Make sure this is exact spelled correctly
Year Established
*
Year when you form your LLC, S-Corp or C-Corp
Length of Legal Ownership (Years/Month)
*
Ex: If you establish your LLC in Jan 2020, and it is it Feb 2024, then it would be 4 years and 1 months (estimated)
Business Tax ID (TIN)
*
If Solo-Prop, please put your SSN
Type of Legal Structure
*
Please Select
S Corp
C Corp
LLC-Corporation
LLC-Partnership
Sole Proprietor
Majority of Business are either S-Corp or LLC, but a LLC can file taxes as a S Corp (Please put LLC-Corp)
Physical Business Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Legal Company’s address (if different from business address), this must MATCH your Articles of Incorporation. Otherwise leave blank below
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Office Email (IMPORTANT: NOT PUBLIC): This email will be linked to payment dashboard for daily transactions, online invoicing, etc will be linked to, so make sure it is an email that your staff handling payment has access. They will NOT have access to major accounts changes without account holder’s info.
Business Phone (Public)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business website
*
Please put website link for verification
Office Email (IMPORTANT) | Not Public
*
This email will be linked to POYNT dashboard for daily transactions, online invoicing, etc will be linked to, so make sure it is an email that your staff handling payment has access. They will NOT have access to major accounts changes without account holder’s info.
*For new business SCORP/LLC (LESS Less than 1 year), we will need a PDF copy of ARTICLE OF Incorporations
Browse Files
Drag and drop files here
Choose a file
Please make sure your legal address matches your application
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Principle Owner (s)
Any owners with 25% or more ownership, they are required to be added on as additional principles
Personal guarantee required (this is standard across all banks) in order to underwrite you. This is not to pull credit or anything (not like a business loan) but means you will be responsible for the merchant account.
Owner's Name
*
First Name
Last Name
Owner's Email
*
example@example.com
Cellphone Number
*
Please enter a valid phone number for text updates.
Format: (000) 000-0000.
Residential Home | Required, no PO Box or business address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birthday (DOB)
*
-
Month
-
Day
Year
Date
Owner’s Social Security Information (SSN)
Will be secured stored and deleted after application submission. If you don't feel comfortable, okay to give it verbally during meeting call
Current Ownership Percent (%)
*
List any additional owners with over 25% Ownership below (if applicable)
Full Name, DOB, Residential Home address (No PO BOX or business addresses), Cellphone, email, % Ownership, SSN (Okay to give during call)
Estimated Credit Processing
Merchant Profile
Purpose: To create a general merchant profile to prevent fraud. Please give your best estimate
Business Annual Revenue (Gross)
*
$250-500K for new businesses, and over $1M+ for most established
Projected Monthly Credit Card Volume
*
$20-50K for most newer businesses, but over $75-150K for most established
Average Ticket Transaction
*
Average Transactions: $125 to $300
Highest Ticket Transaction
*
Average Highest Transactions: $1000-2500.
Frequency of highest ticket transactions per year
*
Banking | Funding Options
Deposit Routing Number
9 Digits Routing # | Where funds get deposited into
Deposit Account
Account where funds get deposited into. If you don't feel comfortable, okay to give verbally during call
Funding Type
*
Please Select
Regular 2 Day Funding (FREE)
Next Day Funding ($5/month)
Regular 2 Day Funding (FREE) is usually recommended
Different Billing/Chargeback account (Optional)
Please indicate additional Routing/Account # if you want a different billing or chargeback account. Most businesses do NOT do this
Equipment Set-Up
Direct low-cost wholesale pricing
Check out list of POS Hardwire with all their features: https://merchant.odsonfinance.com/payment-hardware/
How many devices do you have currently or need?
*
If you are getting a SMART TERMINAL, then it is fully mobile so less number of devices are needed.
How good is your your SECURED-Password enabled WiFi Signal?
*
Please Select
Great! We can do wireless and/or Ethernet connection
Good but not great! We prefer an ethernet connection if possible but can make wireless work
Poor, will need ethernet connection
Please note that even if your WiFi goes off, the POS will still process the transaction but hold it as TOKEN to update to network when connection is reconnected
Which POS are you interested?
*
DESK 3500: Ethernet ONLY (No Wifi), Cost-effective entry-level offering that provides an easy setup and experience [$199 ] Free with $200 Rebate
POYNT N950 Smart Terminal: Wireless (Wifi but can be wired via Ethernet via optional HUB purchase), fully customized features. 6” Touch Screen with TEXT/EMAIL/PRINT receipt. Refund (Full or Partial) WITHOUT card present [$560 but 36% off with $200 Rebate)
POYNT C Smart Terminal: Wireless/Ethernet, our best POS with fully customized features. Dual 7” Touch Screen with TEXT/EMAIL/PRINT receipt. Refund (Full or Partial) WITHOUT card present [$638 but 32% OFF with $200 Rebate]
Not sure! Want to discuss options about it during call.
How many devices do you need?
*
Please Select
1
2
3
4
5
6
7
8
9
10+
We highly recommend the POYNT System, and you can do mixture of POYNT N950 or Dual Screen POYNT C for integrated dashboard.
Do you want Online Basic Email Invoicing (FREE) or upgrade to Advanced Virtual terminal/Invoicing ($15/month)?
*
Yes! Basic Online Invoicing via Talech Virtual Terminal (Separate Dashboard: FREE)
Yes! Advanced Virtual Terminal/Invoicing via POYNT HQ ($15/mo). Self-Register on POYNT HQ (30 days Free Trial, cancel anytime)
No, don't plan on using it
Want to know more about online invoicing options during call
Are you a current Elavon account and want to reprogram any POS that you own (Not Rentals): If so, please indicate POS model and number of devices below
Reprogramming is only available for current Elavon account & Elavon-Encrypted POS; Clover, PAX & other POS are NOT eligible
OPTIONAL: ONLY for CONVERGE Virtual Terminal Via desktop comp with low-cost card readers | Please indicate below if you are interested in this set-up. How many stations and how many card readers do you need?
For businesses who really need credit card stored on file, otherwise a stand-alone POYNT POS works. For more info: https://merchant.odsonfinance.com/resources/converge-terminal-card-readers-set-up/
Additional Locations (Optional) | Must be Under Same Tax ID & Legal Structure
Only Fill Out if Additional Merchant IDs (MID) needed
Different MID for secondary locations. Must be under same TAX ID, Legal company, ownership but different DBA & Banking info , other if different TAX ID, need to submit a different application
2nd Business (DBA) Name
DBA will be your Office Name: Make sure this is exact spelled correctly
2nd Office Email (IMPORTANT) (Not Public) This email will be linked to dashboard for daily transactions, online invoicing, etc will be linked to, so make sure it is an email that your staff handling payment has access. They will NOT have access to major accounts changes without account holder’s info. Recommend different email unless getting POYNT Set-up
2nd Business Phone (Public)
Please enter a valid phone number.
Format: (000) 000-0000.
2nd Office Email (IMPORTANT) | Not Public
This email will be linked to dashboard for daily transactions, online invoicing, etc will be linked to, so make sure it is an email that your staff handling payment has access. They will NOT have access to major accounts changes without account holder’s info. Recommend different email unless getting POYNT Set-up
2nd Business website
Please put website link for verification
2nd Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
2nd Location Card Volume
Purpose: To create a general merchant profile to prevent fraud. Please give your best estimate
Business Annual Revenue (Gross)
$250-500K for new businesses, and over $1M+ for most established
Projected Monthly Credit Card Volume
$20-50K for most newer businesses, but over $75-150K for most established
Average Ticket Transaction
Average Transactions: $125 to $300
Highest Ticket Transaction
Average Highest Transactions: $1000-2500.
Frequency of highest ticket transactions per year
Banking Information | Funding Options
If different from primary location
Deposit Routing Number
9 Digits Routing # | Where funds get deposited into
Deposit Account
Account where funds get deposited into. If you don't feel comfortable, okay to give verbally during call
Funding Type
Please Select
Regular 2 Day Funding (FREE)
Next Day Funding ($5/month)
Regular 2 Day Funding (FREE) is usually recommended
Different Billing/Chargeback account (Optional)
Please indicate additional Routing/Account # if you want a different billing or chargeback account. Most businesses do NOT do this
Which POS models and how many devices?
List of POS Equipments: https://merchant.odsonfinance.com/payment-hardware/
For any additional locations (3 or more) , input all info below
DBA Name, Business Phone, Email, Physical Address, Annual Rev (+Monthly CC Volume, Avg Transaction, Highest Ticket Transaction, Freq of Highest Transactions)
Other Information | Terms
PCI Compliance is Required (10mins Online Video) within 90 days of Account approval, or a fee of $74.99/month will imposed by Visa/MC/AMEX
*
Please Select
I agree to do PCI compliance within 90 days to AVOID the $74.99 charged by Visa/MC/AMEX.
10mins PCI walkthrough avail here: https://merchant.odsonfinance.com/resources/customer-support/
Credit processing is REQUIRED within 90 days of merchant account, otherwise account will be deactivated and a restocking fee of $150+ per device purchase returned.
*
Please Select
I agree to START processing within 90 days of account of being approved to avoid any potential deactivation
All account need to be start processing full capacity within 90 days to avoid any deactivation
All devices are purchased in full at WHOLESALE Pricing , then a merchant will receive a $200 credit towards ONE DEVICE Purchase, ONLY eligible for accounts processing over $30,000 monthly volume after 3 months, then recheck every quarter until this goal is reached. This result in a FREE Basic POS or $200 credit toward a smart terminal
*
Please Select
I understand the terms of the $200 Rebate toward one whole-sale POS purchase if I qualify
We don't make any money off of POS Sales, all pricing are wholesale with one $200 Rebate toward entire order
In order to qualify for low-rate Doctor Corporate Program for doctors, all accounts are required to process a min of $10K a month after 90 days, otherwise there is a $10 monthly fee.
*
Please Select
I agree that there is min $10K monthly volume within 90 days processing to qualify for the low rate, otherwise $10/month account fee will be imposed
This is a requirement by Elavon in which majority of practices will qualify for our exclusive low-rate program
Approval Timeline: 1-2 days for underwriting to approve, 3-4 days to program/ship devices out. Total 6 Business days via UPS Tracking
*
Please Select
I agree to the timeline
We don't make any money off of POS Sales, all pricing are wholesale with one $200 Rebate toward entire order
There is no contract, no teaser rates, no hidden fees such as monthly account use, PCI etc.
*
Please Select
Awesome! Thank you for the confirmation! This is great
I want to know more about this
We don't believe in contract or hidden monthly fees if you qualify for our program
Did you remember to book a 30mins Application Google Meet to finalize everything?
*
Please Select
Yup! Already did!
Will do it right after this. Thanks for the reminder
BOOK HERE: https://calendly.com/merchantodof
Anything you want to discuss below?
Interchange Rate Plus vs 0% Credit Surcharge, Virtual Terminal/Online invoicing, POS Options, Support, PCI-Compliance
How did you hear about us? If you were directly referred, please include their full name and email so we can send them a thank-you gift.
Interchange Rate Plus vs 0% Credit Surcharge, Virtual Terminal/Online invoicing, POS Options, Support, PCI-Compliance
How did you hear about us? If you were directly referred by an current ODoF Merchant client, please include their full name and email so we can send them a thank-you gift.
ODs on Finance Community
Dental Investment Community (DIG)
Facebook /IG AD
Other Doctor Alliance group / Word of Mouth
Direct Referral (Full Name & Email)
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