CLINIC INFORMATION:
OTHER INFORMATION
Terminal Pricing and Connection Information:
Ingenico Link/2500 LE Cloud EMV $429.99 (WiFi) +
Ingenico Lane/3000 Cloud $424.99 (Ethernet) +
Ingenico Lane/3600 Cloud $524.99 (Ethernet) +
Ingenico Lane Series Stand $114.99 +
+Taxes and Shipping
ACKNOWLEDGMENT & SIGNATURE
By submitting this form, I acknowledge and agree to the following:
I confirm that all information I have entered is accurate, complete, and true to the best of my knowledge.
I authorize CorePro360 to collect and process sensitive business information including bank account details, merchant processing credentials, tax identification numbers, and other financial data necessary for payment processing services.
I understand that this information will be used to submit applications to payment processors and gateway providers on my behalf.
I have read and agree to CorePro360's Terms of Service and Privacy Policy.
I understand that providing incomplete or inaccurate information may delay my application approval or result in denial of services.
By signing below, I acknowledge that I have read and understood the onboarding process and authorize CorePro360 to proceed with my merchant account application(s).
Innate users understand that they need to have an active Merchant Flex subscription to use the integrated processing within the Innate software. Contact Innate before or read more here before continuing.