Please fill out the form below. A client relationship manager will get in touch with you to complete your Clover merchant application. Merchant boarding process and integration can take up to 3-4 Weeks. Due to Covid-19 POS/Clover devices may experience shipping delays. We apologize for the inconvenience.

Business Legal Name *

Business dba Name *

Example: HS Food Corporation dba Downtown Cafe

Business Legal Address (No P.O. Boxes allowed) *

Email *

Phone Number *

If you have an extension add Ext 234.
( 341) 124 124 Ext 234

Restaurant Type *

• Fast Food/Take out
• Diner/Cafe/Fine Dining
• Dine-in/Take out
• Food Truck/Trailer/Cart

Business Formation or Start Date *

Owner Full Name *

Title/Position *

%Ownership *

Submit