POS Software Setup Request Form Name of the Customer*Phone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of Business*-- Select --Hair SalonNail SalonBeauty SupplyPizzeriaGroceryEat-In RestaurantSuper MarketInsurance AgencyMulti ServicesClothing StoreWholesale StoreDelivery ServicesAccept Credit Cards*YesNoReceipt Logo*YesNoLogo UploadAccepted file types: jpg, gif, png.NWC Processor Name*iTransact Gateway IDiTransact Gateway Password
