Gulf Management Systems, Inc. Your partner for fast, affordable electronic payment solutions. Client Profile Sheet Company Information All Information is Required for Processing Approval Corporate/Legal Name: DBA Name: Business Street Address: (no P.O. Boxes) City: State: Zip: Legal / Mailing Address: (if applicable) City: State: Zip: Business Telephone #: Federal Tax ID # : (9 digits) Date Business Began: Name of Principal Owner: Owner's Title: Owner's Home Address: City: Owner's Date of Birth: Owner's SSN: Owner's Home/Cell Telephone #: Owner's Direct Email: AVERAGE Per Sale/Ticket Amount: $ HIGHEST Per Sale/Ticket Amount: Business Primary Contact : (if different from Owner) Technical/Emergency Contact : (if different from Owner/Primary) Depository/Bank: Zip: Fax #: $ MONTHLY Total Sales Estimate: Primary Contact Email: Direct / Cell #: Emergency Contact Email: Direct / Cell #: Phone: Street Address: 9-digit Routing Number: Services Needed: State: Bank City: $ St: Zip: Account Number: ACH Bank Drafts Donation Processing Recurring Credit Cards DonorBOO$T program Swiped Credit Cards Free NSF Check Recovery Online Credit Cards Payroll Direct Deposit Mobile Credit Cards 1099 reporting & wage stubs Payments via Email Payroll Cards PLEASE PROVIDE A COPY OF VOIDED CHECK OR SIGNED BANK LETTER Please select your processing environment and describe the types of transactions you wish to process: NSF Automatic Retry Setup: (optional) Yes No Retail Telephone NSF Customer Penalty Fee: (optional – up to $25) Internet Memberships $ Software / Hardware Notes: Questions? Contact GMS at 800-947-3156 or [email protected] http://www.gulfmanagementsystems.com ~ 2753 SR 580, Suite 212, Clearwater, FL 33761 Donations