Payyus Merchant Application
These are the questions we need answered to setup your own Branded Mobile App. Answer these questions as best you can and we'll have you up and running in around a day.

Company Name? *
Do you have a First Data/Clover Rep? *
Yes/No What's their Name?
Main Business Address? *
Type of Ownership? *
What's your business do? *
Type of Business? Coffee, Fastfood, Retail, Professional, etc
How long in Business? *
Provide Main Owner's Name, %Ownership, Title, Home Address, Cellphone #, Birth Date, Social Security#, Driver License#, DL State and Expiry Date?
You can also call 303-835-0230 with this information if you are uncomfortable providing it on this form
Provide 2nd Owner's Name, %Ownership, Title, Home Address, Cellphone #, Birth Date, Social Security#, Driver License#, DL State and Expiry Date?
Provide 3rd Owner's Name, %Ownership, Title, Home Address, Cellphone #, Birth Date, Social Security#, Driver License#, DL State and Expiry Date?
Provide Name, email and phone for our main contact *
How many Checkout Locations require Payyus? *
Required
Provide an email address if you want be notified each time a customer makes a Payyus deposit to your account
In cash dollars how much are you willing to provide the customer as a First Time Reward for downloading Payyus, and connecting your business to their mobile device?
This is a one time credit on the first purchase with the app. Coffeeshops, QSR, Bar suggested amount $5
Ongoing Rewards- How much should a customer purchase from you prior to you providing them a cash discount reward?
Clear selection
If a Customer uses a credit card to fund their account how much should they be rewarded? *
Typically a credit card costs you more, so maybe 0 to 4% rewards
If a Customer funds their account with you directly from their bank account, how much should they be rewarded?
Bank funding is less expensive than card funding, so 5-10% is typical
How long do you want Rewards to be redeemable before they expire?
We suggest a year. Many customers can become upset if they don't use Rewards and find out they expired
Clear selection
Type of account where you want your funds deposited? *
What is your Bank's Routing Number? *
You can pull this and acct number off your checks
What is your Account number that you want funds deposited to?
Please BE ACCURATE! We don't want to deposit your funds in somebody else's account - You can also call 303-835-0230 with this information if you are uncomfortable providing it on this form.
Who is your Payment Card Processor now? Supply your Merchant ID if you have one
Any prior bankruptcies in Business or Personal within past 7 years? *
2 Verifications: Take a Picture of Business License OR tax returns OR articles of corp for business AND driver's license OR passport for personal
email to legal@mymarketpartners.com or provide to your Account Executive
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