Merchant Application

Merchants may apply to accept donations by filling out the following details:

Please fax to: (310) 496-0852
or
Please email to: applications@donateup.com

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Merchant Name : ____________________________
Merchant Phone: ____________________________
Merchant Address: ___________________________
Retail or Online Store: _________________________
Type of Products: _____________________________
New Merchant or Already Processing? : ______________
If Already Processing…
Current Processing Rates (if known): ________________
Current Terminal Model (if known): _________________
Monthly Processing Volume: _____________________
Average Ticket: _______________________________


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