ODoF Merchant Services Application

ODoF Merchant Service | EHR-Connected Payments ShopConnect Pro
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 complete the information before our Google Meet. This is NOT the final application—a final e-signature will be sent after your onboarding call. If you haven’t already, please schedule your 45-minute app/onboarding call here: 🖥️ https://calendly.com/merchantodof
Primary Contact
Contact Email
Cell Phone Number (Text Notifications)
(Personal phone, not work)Format: (000) 000-0000.
Type of Merchant Application based on quote sent
*If a surcharge or EHR application is needed, please email merchant@odsonfinance.com for surcharge quote prior to meeting. For more information, visit https://merchant.odsonfinance.com/pricing/
- 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
  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
  
  CityState
  
  Zip Code
- Legal Company’s address (if different from business address), this must MATCH your Articles of Incorporation. Otherwise leave blank below if the same
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  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
- *For NEW BUSINESS ONLY (Less than 1 year), we will need a PDF copy of ARTICLE OF Incorporations
  
  Please make sure your legal address matches your application
  Cancelof
- 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 NameLast 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
  
  CityState / Province
  
  Postal / Zip Code
- Date of Birthday (DOB)
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- 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
- Owner’s Driver or State License # & State
  This will only be used to verify your identity. It will be stored securely and deleted after your application is submitted.
- 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), Driver's License # & State
- Merchant Profile
  
  Purpose: To create a general merchant profile to prevent fraud. Please give your best estimate
- Total 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
- 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
- Confirm Deposit Account
  Please confirm account # with online banking or check book to avoid any delays in batches
- Your account number does NOT match your account # confirmation, please go back and correct it to avoid any batching delays
- Funding Type
  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
- Upload a VOIDED check, bank letter, or other document showing your business name, routing number, and account number.
  
  This will be used to verify your bank account and ensure funds are deposited correctly.
  Cancelof
- Direct Standalone Low-Cost Wholesale Pricing
  
  Check out list of POS Hardwire with all their features: https://merchant.odsonfinance.com/payment-hardware/
- How many POS Terminal 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 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 do you want to PURCHASE or RENT?
- How many devices do you need?
  You can mix and match the P-Series based on your practice needs while keeping everything on one integrated dashboard.
- Are you Interested in RENTAL or PURCHASE?
  We usually recommend purchasing POS since it cheaper in the long run, but renting a great stress-free to help reduce initial cost or test a POS. Regardless there is $200 Rebate to help with cost if you are qualify
- Add Virtual Terminal for $20/month? Includes card-on-file, Text-to-Pay, online invoicing, virtual terminal, website payment links & more?
- Which EHR are you using now?
  
  Other
- Which POS do you want to PURCHASE or RENT?
- How many POS card reader /stations do you need?
  You can mix and match the Dejavoo P1, P8, and P8 Dual based on your practice needs while keeping everything on one integrated dashboard..
- Are you Interested in RENTAL or PURCHASE?
  We usually recommend purchasing POS since it cheaper in the long run, but renting a great stress-free to help reduce initial cost or test a POS. Regardless there is $200 Rebate to help with cost if you are qualify
- ODoF EHR-Connected Payments is an independent Chrome or desktop payment extension that connects with EHR systems. It is NOT a native or direct API integration and is not officially sponsored, authorized, or endorsed by any of the third-party EHR/PMS platforms listed in this update.
  Read EHR-Connected FAQs: https://merchant.odsonfinance.com/ehr-connected-payments/#oe-faq
- 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 Business website
  Please put website link for verification
- 2nd Business Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / 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 (Please Verify)
  
  If different from primary location
- Deposit Routing Number
  9 Digits Routing # | Where funds get deposited into
- Deposit Account
  Account where funds get deposited into. Please confirm this number with online account + checkbook to avoid any delays in batchings
- Confirm Deposit Account
  Account where funds get deposited into. Please confirm this number with online account + checkbook to avoid any delays in batchings
- Funding Type
  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)
- PCI Compliance is Required Annually (Quick 10mins Online Video) within 90 days of Account approval, or a fee of $74.99/month will imposed 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.
  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 TOTAL ORDER 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 essentially FREE Basic POS or $200 credit toward a smart POS terminal
  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, all accounts are required to process a min of $10K a month after 90 days, otherwise there is a $25 monthly fee.
  This is a requirement by Elavon in which majority of practices will qualify for our exclusive low-rate program
- All POS purchases are FINAL SALE due to wholesale pricing. Defective devices include a 1-year warranty, with coverage up to 3 years considered case-by-case while the model remains supported. If unsure, please consider renting instead.
  All purchase comes with 1 year defective warranty, up to 3 years coverage as long as the model is supported
- Approval Timeline: 1-2 days for underwriting to approve, 2-3 days to program/ship devices out. Total 3-5 Business days via UPS Tracking
- There is no contract, no teaser rates, no hidden fees such as monthly account use, PCI etc.
  We don't believe in contract or hidden monthly fees if you qualify for our program
- Did you remember to book a 45mins Onboarding/Application Google Meet to finalize everything?
  👉 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 by an current ODoF Merchant client, please include their full name and email so we can send them a thank-you gift.
  
  Other
Should be Empty:

Merchant Services Application (Secured)

Any owners with 25% or more ownership, they are required to be added on as additional principles

Merchant Profile

Direct Standalone Low-Cost Wholesale Pricing

Only Fill Out if Additional Merchant IDs (MID) needed

2nd Location Card Volume

Banking Information | Funding Options (Please Verify)