PIN Pad Change PIN Pad Change This form is used to arrange a support call to update your payment processing settings for either a new PIN pad, or a new merchant services provider (processor). Franchise(Required)BeavertailsChaiwalaChurch's ChickenDairy QueenHi Five ChickenMary BrownsPopeyesTim HortonsWilliamsOther (Please specify in comments)Please provide the name of your franchiseRestaurant ID(Required)The unique identifier for your location (usually numerical e.g. store #1234)In case we need to speak to someone about this change, we require your contact details.Your Name(Required)Contact Phone(Required)Contact Email(Required) Current Credit / Debit Processor(Required)Chase PaymentechGlobal PaymentsMonerisTD Merchant ServicesCurrent PIN Pad ModelVerifone VX820Verifone P400Ingenico iPP320Ingenico Lane 3000Other (please specify in comments)Current Merchant ID(Required)Current Gift Card ProcessorNoneEarnexGivexValuelink (Fiserv/FDNet)Other (Please specify in comments)Changes Required Please enter into this section the information regarding your new credit / debit card processorNew Credit / Debit Processor(Required)Chase PaymentechGlobal PaymentsMonerisTD Merchant ServicesYour NEW card processorNew PIN Pad Models Supplied(Required)P400Other (Please specify in comments)You will be installing new PIN Pads supplied by your new processor. Please let us know their modelsNew PIN Pad Models Supplied(Required)P400Other (Please specify in comments)You will be installing new PIN Pads supplied by your new processor. Please let us know their modelsNew PIN Pad Models Supplied(Required)Other (Please specify)You will be installing new PIN Pads supplied by your new processor. Please let us know their modelsNew PIN Pad Models Supplied(Required)Lane 3000Other (Please specify in comments)You will be installing new PIN Pads supplied by your new processor. Please let us know their modelsFor security each Terminal ID is associated with a specific PIN pad. This information would have been sent to you by the processor, perhaps via email or letter (VAR), or sometimes shipped directly with the devices. If you do not have this information, please contact your processor to obtain these required details before proceeding with this form.Please enter a Terminal ID for each PIN Pad supplied. Use the ‘+’ to the right to add as many rows as needed. Note: It is important to ensure the Terminal ID matches the correct PIN PadNumber of PIN PadsPlease enter the total number of new PIN Pads supplied. (This is a check to make sure the number of entries in the next block is accurate).New Terminal ID / ECRTerminal ID / ECRPIN Pad Device ID Add RemoveEnter one Terminal ID and ECR for each row. Use the + and – buttons to add or remove rows.Gift Card ProcessorGift Card ProcessorSame (No change)GivexValuelink (Fiserv/FDNet)Other (Please Specify in comments)If your location uses gift cards please complete this fieldNew Givex User IDFor Givex, you must have a user ID set up specifically for the POS with operator ID 1 assigned. You may set up multiple IDs for each terminal if desired or use the same on all terminals.New Valuelink Gift Card Merchant IDYour Valuelink account must be configured and “provisioned” to use “Datawire VXN”. Please confirm this with Valuelink, if this is a new account.New Valuelink Gift Card Alternate IDCommentsPlease use this box to provide any relevant or required information not entered elsewhere.CommentsThis field is for validation purposes and should be left unchanged. Δ