Canadian Code of Conduct Disclosure Packet Request Form

Please enter the necessary information to receive a Disclosure Packet.

Merchant number

First name

Last name

Merchant business name

Merchant street address

City

Province/Territory

Postal code

Business phone number

Email Address at which you wish to receive your Disclosure Packet. For security purposes, email address must be registered on your Elavon account.

Name of sales representative

Your contract with the acquirer or member service provider.

Name of merchant services provider (MSP) in Canada, if applicable (optional)

Name of the organization with whom you applied for card processing services.

Privacy agreement

I agree to receive news, information and updates via electronic mail; phone calls and text message from Elavon Canada. You can withdraw your consent at any time by contacting us or clicking on the unsubscribe link in any email you’ve received from us. Please refer to our privacy policy or contact us for more details. Your privacy is important to us. By clicking 'Submit your request' you agree to our terms and that Elavon Canada may collect, store, and use the information that you have provided to us in order to contact you to discuss your application and the products and services of Elavon Canada.

Canadian Code of Conduct disclosure packet request form

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