What is the current 12 digit MID for your in store processing? (begins with 323):
What is the Legal name of your business?
Store #:
What is your Doing Business As (DBA) name?
What is the business phone number?
Email Address:
What is the business address? Street:
City:
State:
Zip:
Where should PAX device be delivered? Street:
City:
State:
Zip:
Quantity of PAX S300 Devices @ $300.00 a unit & cables ($355.00 per terminal): Platform: Nashville
Bill Account Directly: $10.00 per injection key -- $45.00 for deployment
Invoice

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PAX S300 Request Form

If you have any questions, please call the POS Help Now helpdesk at (877) 811-3811.
 
POS Help Desk:   (877) 811-3811
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National Hours:  7AM - 10PM   Mountain Time

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Please be aware Franchisees can only request prior day transactions be voided by calling First data and providing them with  the transaction date, amount of the transaction, check number and last 4 digits of the credit card. Franchisees also cannot edit amounts or reapply payments to any cards with this EMV solution.  Lastly, this is not considered a P2PE solution.  If you need a solution that has these features, please discuss with ERC alternate EMV solutions.  Please be aware all sales are final & First Data will not accept return of the PAX terminal(s)