Glass Canvas Payment Processing

Enter Your Glass Canvas Customer Information

Full name of Glass Canvas representative

Email of Glass Canvas representative

Doing Business As name (DBA name) and address (if different than legal name and legal address)

Date organization was founded (month and year)

Government business number (CRA #, GST number, Government Payroll # are all examples)

Charitable number if applicable

Organization phone number

Organization email

Official (LEGAL) organization name and address (where records are kept)

Do you want to accept CAD, USD, or both? (requires business bank account for each currency)

Do you want to accept AMEX? Yes or no.

Authorized signer name and RESIDENTIAL address

Authorized signer ID (driver's licence #, province, issue date and expiry date)

Authorized signer date of birth

Authorized signer direct phone number

Percentage Fee

Transaction Fee

Attach banking info (Such as void cheque or deposit form)

Attach a business document (ex. incorporation doc)

Comments or notes (Optional)