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Legal Name of Business or Organization

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Street Address

City

State

Postal Code

Owner Full Name

Email *

Phone *

Website

Social Security Number

Business EIN

Business Start Year

Signer Driver's License Image

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Voided Check Image

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What is your current average transaction amount?

What is your highest transaction amount?

Signer Signature

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Name of your Aqua Leo Representative

Privacy Policy

Aqua Leo Payment Solutions respects your privacy. When you submit information through our website, such as your name, business name, email address, phone number, or details about your payment processing needs, we use that information only to respond to your inquiry, provide information about our services, schedule a consultation, or support your account.

We do not sell your personal information.

Your information may be shared only when necessary to provide services, complete an application, support payment processing needs, or comply with legal or regulatory requirements.

By submitting a form on our website, you agree that Aqua Leo Payment Solutions may contact you by phone, email, or text regarding your inquiry.

We take reasonable steps to protect the information you share with us. However, no website or electronic communication is completely secure.

For questions about this Privacy Policy, please contact us:

Aqua Leo Payment Solutions
Email: [email protected]
Phone: 330-298-5552
Website: www.aqualeo.net

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Thank you for your submission. If we need more details to ensure accuracy, someone from our team will contact you.

Phone: 330-298-5552

Email: [email protected]

Site: www.aqualeo.net

Let's Get You Signed Up!

Fill out the short form below so we can get your new account set up for you.

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