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Signature of Authorized Principal Date as specified on the Merchant Application/Agreement Print Name Phone Email Address If you should have any questions please contact our Merchant Services department at 800 554-2777 or email us at merchantsupport merchants-help.com Revision Date Feb 2010 14 IPI Business Name Change 0210. Thank you for your cooperation. Merchant Number PLEASE CHECK ALL THAT APPLY Doing Business As Name Change Change In Business Type New Corporation LLC Partnership Legal...
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