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Repair Shop Payments — Application Intake Form

Which Program Would You Like To Move Forward With?

Cash Discount - Highest Savings: A service fee is applied to all transactions; cash-paying customers receive an equivalent discount and pay nothing extra. Processing costs are virtually eliminated across all card types.\n\nNote: Requires a one-time adjustment to your hourly labor rates and quoting tool pricing — straightforward, but a step.

Surcharge - Most Common: A 3% surcharge applies to credit card transactions only and is passed directly to the cardholder at checkout — eliminating your credit card processing costs entirely. Debit cards are not surcharged; the shop covers debit at a significantly lower cost than credit interchange. No changes to your quoting tool or labor rates.

Interchange Plus - Traditional: True interchange passthrough with a fixed markup — just priced correctly and transparently. Options A or B represent far greater opportunity for savings, as you cover 100% of the processing fees with this option.

Business Legal Name

DBA Name If Different From Corporate Name

Business Start Date

Month and year preferred

EIN

Found on your IRS SS-4 form or any prior tax document

Average Monthly Ticket

Leave blank if you have already provided statements

Average High Ticket

Leave blank if you have already provided statements

Average Monthly Credit Card Sales Total

Leave blank if you have already provided statements

Driver's License

Front side only

Size limit: 10 MB

Voided Check

Must include your business name — not a starter check

Size limit: 10 MB

Your SSN will not be collected here. Derek will call you directly before sending your DocuSign application to collect this securely over the phone.