AN INCOMPLETE FORM WILL CAUSE A DELAY IN PROCESSING TIME
Exatouch Setup Form
Upon completion:
New Accounts:
Email to underwriting@electronicpayments.com
Existing Accounts:
Email to exatouchorders@electronicpayments.com
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EPI Office Code (if applicable) PTS70 |
Agent Email Address * jamesr@synapsepayments.com |
Agent Phone Number 800-925-5191 |
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Account Type |
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Merchant Name |
Pick-A-Tier Schedule * E |
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Merchant ID Number |
Merchant Email Address * |
Merchant Phone Number |
Current Terminal/POS Solution * N/A |
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File Build Type |
Restaurant and QSR Merchants Only: Online Ordering? |
Reverse Cash Discount % or $ |
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I agree to submit my menu/inventory via the online submission website For menu build instructions and to upload your menu files, visit https://www.electronicpayments.com/menuupload For inventory build instructions and to upload your inventory file, visit https://www.electronicpayments.com/inventory |
I have completed a live online demo with the Exatouch Team |
Estimated Install Date |
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Rush Orders and Requests
Exatouch orders take an average of 14 business days for deployment (pending approval of menu and inventory builds, etc.). If you require a rush, please select from the following options. These options apply to an Exatouch POS install for an existing or new MID as well as ownership changes/transfers.
Does NOT require or include a menu/inventory build.
Merchant to receive Exatouch hardware within 2 business days.
Merchants pays for Overnight Shipping.
Includes menu/inventory/build.
Merchant to receive Exatouch hardware within 5 business days.
5-day count starts on the day EPI receives the menu/inventory.
Responsibility of agent/merchant to provide complete menu/inventory using EPI templates.
Merchant pays for Expedited Shipping.
NOTE: Rush Order Fees are not refunded if a return is requested. Restocking fees apply if return requested within 30 days of shipping.
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AN INCOMPLETE FORM WILL CAUSE A DELAY IN PROCESSING TIME
Shipping Details
If shipping Express, we will confirm the total shipping costs after assessing the item(s) being sent and the type of Express shipment. We cannot guarantee overnight shipping the same day the paperwork is received.
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| Peripheral Shipping | ||
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Order Notes/Instructions |
Shipping Name |
Shipping Phone Number |
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Address |
Apt/Suite# |
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City |
State |
ZIP Code |
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Total Monthly Service and Support FeeBilled Monthly on Merchant Statement |
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Misc Price Adjustments |
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Total Hardware and Peripheral Charges |
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Total ShippingPOS Bundle Shipping + Peripheral Shipping (per item) |
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Ownership Change/TransferFee |
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Rush Fee |
Subtotal |
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Sales Tax % |
Sales Tax % |
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TOTAL ONE-TIME PAYMENT |
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Overages for residential delivery, Saturday delivery, special handling and costs for shipping to AK and HI will be passed through. Orders shipped to Texas,New York, or picked up at the Electronic Payments New York office, will be subject to state sales tax.
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Credit Card Number |
Expiration Date |
Security Code (CVV2) |
Billing ZIP Code |
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Printed Name |
Cardholder Signature |
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*Please note that the ACH approval process may take up to five (5) business days to complete before hardware is shipped
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AN INCOMPLETE FORM WILL CAUSE A DELAY IN PROCESSING TIME
Exatouch® Terms, Conditions, and Service Agreement
Exatouch Return Policy
To be eligible for a return, all equipment must be undamaged and in the same new condition as when it was originally shipped. If you are returning within 30 days from the date of delivery and the return is approved, you will be charged a restocking fee based on 15% of the total equipment cost. NO returns will be accepted after 30 days past the date of delivery.
Exatouch Bundle Warranty
Electronic Payments shall provide remote support to determine if Exatouch Bundle hardware is defective and, if so, at Electronic Payments sole discretion, it will: repair hardware, send replacement parts, and/or replacement hardware if the merchant is actively processing with Electronic Payments. Merchant must return all defective hardware to Electronic Payments within 15 days of receipt of the replacement hardware. Merchant's failure to maintain the hardware or blatant mishandling shall result in additional charges for service and/or replacement of the hardware. Exatouch Bundle Warranty is valid for 36-month term.
Ownership Change/Transfer Policy
TFor any Exatouch ownership changes, Electronic Payments requires a 14-day advanced notice and will assess a $350 Transfer Fee to implement ownership and/or MID changes. An ownership transfer request made with less than a 14-day notice will be charged a $1,000 Rush Fee. While our team will do our best to accommodate rushed ownership changes, they're not guaranteed. An Ownership/MID change requires NO menu/inventory changes. For any Inventory/Menu Re-Builds, an additional $250 fee will be assessed. Such fees do not apply to ISO-owned equipment/stock that have not been previously deployed and in-use as an initial deployment is included in the purchase price of all POS Stations.
Changes to Terms and Fees
Electronic Payments may change any terms, conditions, rates, fees, expenses, or charges incurred under this Agreement with 30-day written notice to merchant. Using the Exatouch POS software or hardware after a change takes effect constitutes acceptance of the change.
THE SERVICE AGREEMENT REQUIRES THE USE OF ELECTRONIC PAYMENTS TRANSACTION PROCESSING SERVICES UNDER ASEPARATE MERCHANT TRANSACTION PROCESSING AGREEMENT.
By signing below, I agree to the Exatouch Return Policy and all other program terms and conditions.
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Merchant Name (Printed) |
Merchant Signature |
Date |
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AN INCOMPLETE FORM WILL CAUSE A DELAY IN PROCESSING TIME
Exatouch® Buyer Information Sheet & Pre-Install Checklist
For Questions:
(800) 966-5520 - Option 4
Email to underwriting@electronicpayments.com
Welcome to the Electronic Payments family, and congratulations on selecting Exatouch® as your point of sale solution! Exatouch has everything you need to securely process all payment methods while maximizing business operations and increasing the value of your business. Our in-house staff is readily available to help you get the most out of your system and address any questions or concerns you may have. Our support teams may be reached at the following phone numbers:
24/7 Technical Support: 800-966-5520 – Option 3 | Merchant Support: 800-966-5520 – Option 4
As part of our comprehensive service offerings, our support staff will provide over the phone install assistance and training to ensure you can start using Exatouch as soon as possible. We’ll show you how to process a transaction, look up and pull reports, access helpful resources, and any other functions that are vital to your business operations. An initial one hour training will be completed after installation. The Technical Support Team is available to assist in the future as needed, and additional training may be scheduled at any time.
To ensure a smooth setup of your Exatouch system, please review and check off the following Pre-Installation Checklist boxes and sign below:
I,______________________________________________________________, authorized representative of_______________________________ confirm that I have read and understand this information. I authorize and request delivery of my Exatouch system to the address below and authorize anyone at that location to accept and sign for the delivery. I understand that standard turnaround is approximately 14 business days from submission of paperwork, but delays are possible due to payment issues or incomplete data.
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Merchant Name (Printed) |
Merchant Signature |
Date |
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Merchant Contact Name (Printed) |
Company Name |
Phone Number |
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Address |
City |
State |
ZIP Code |
CLIENT COPY
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AN INCOMPLETE FORM WILL CAUSE A DELAY IN PROCESSING TIME
Exatouch® Buyer Information Sheet & Pre-Install Checklist
For Questions:
(800) 966-5520 - Option 4
Email to underwriting@electronicpayments.com
Welcome to the Electronic Payments family, and congratulations on selecting Exatouch® as your point of sale solution! Exatouch has everything you need to securely process all payment methods while maximizing business operations and increasing the value of your business. Our in-house staff is readily available to help you get the most out of your system and address any questions or concerns you may have. Our support teams may be reached at the following phone numbers:
24/7 Technical Support: 800-966-5520 – Option 3 | Merchant Support: 800-966-5520 – Option 4
As part of our comprehensive service offerings, our support staff will provide over the phone install assistance and training to ensure you can start using Exatouch as soon as possible. We’ll show you how to process a transaction, look up and pull reports, access helpful resources, and any other functions that are vital to your business operations. An initial one hour training will be completed after installation. The Technical Support Team is available to assist in the future as needed, and additional training may be scheduled at any time.
To ensure a smooth setup of your Exatouch system, please review and check off the following Pre-Installation Checklist boxes and sign below:
I,______________________________________________________________, authorized representative of_______________________________ confirm that I have read and understand this information. I authorize and request delivery of my Exatouch system to the address below and authorize anyone at that location to accept and sign for the delivery. I understand that standard turnaround is approximately 14 business days from submission of paperwork, but delays are possible due to payment issues or incomplete data.
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Merchant Name (Printed) |
Merchant Signature |
Date |
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Merchant Contact Name (Printed) |
Company Name |
Phone Number |
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Address |
City |
State |
ZIP Code |
ELECTRONIC PAYMENTS COPY
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