The following questionnaire will provide the most expeditious method of completing the required
ATM paperwork necessary to add an ATM to your existing ATM portfolio. Once the questionnaire
is completed your answers will automatically generate the completed paperwork required. You
MUST answer all of the questions or you may experience delays in paperwork processing.
ATM Owner Info
Name of ATM owner or individual requesting qualification for setup in ATM banking network.
ATM Terminal Info
In this section, enter info only when it is different from your original portfolio info.
For SMS text msg alerts, please provide a phone number and service provider. If you do not want text msg alerts, leave blank.
ATM Location Info