Fi-Soft Merchant Edition Application

Note: Fi-Soft Merchant Edition requires the following:

Windows 7, Windows 8, Server 2008, Server 2010, Server 2012, or higher operating systems
QuickBooks Pro, Premier, or Enterprise 2010 or newer (merchant can’t also be using QuickBooks POS)
Fi-Soft Merchant Edition software and QuickBooks must be installed on each computer the merchant will process transactions on.

MERCHANT INFORMATION
Legal Name of Business*
Type of Business*
Business Address*
Street Address Address Line 2 City State ZIP Code
AUTHORIZED MERCHANT CONTACT
Name*
First Last
Title*
Phone Number*

(000-000-0000)
Fax Number
Email Address*
Website

(www.fi-soft.com)
Brief description of products/services provided by business*
OPERATING SYSTEM
Computer Operating System*
QUICKBOOKS ACCOUNTING SOFTWARE
Windows version of QuickBooks Used*
Additional Modules
- Email Invoice Module
How many QuickBooks User Licenses does merchant have?*
FI-SOFT MERCHANT EDITION SOFTWARE & HARDWARE
How many licenses of Fi-Soft Merchant Edition software are being purchased?*
If merchant requires a compatible card reader, how many are being purchased?*
RESELLER INFORMATION
Reseller business name
Phone Number*

(000-000-0000)
Ext
Name*
First Last
Email Address*
CONFIRM ORDER
I authorize Fi-Soft to contact this merchant and provide the above products and services. I understand and agree the Fi-Soft will debit the Reseller's account in accordance with the current pricing schedule in the Fi-Soft Channel Sales Agreement.
SUBMITTED BY
Reseller Business Name
Name*
First Last
Title
Email Address*
Date
MM slash DD slash YYYY
Captcha
Comments
This field is for validation purposes and should be left unchanged.

94786