Dear Merchant,

Thank you for your interest in becoming a participant of The College Of New Jersey's electronic wallet program. Beginning in September of 1994, the College began a discretionary spending program, the Gold Club-Lion Card. program, as a convenience to its faculty, staff and students. Under the program, anyone with a valid College ID card is able to purchase goods and services at participating locations both on and off campus. Funds are deposited into the customers account at various locations on campus; students (or faculty or staff) just present the card to the merchant and funds are deducted using VeriFone Tranz 330 or Tranz 380X2 credit card readers which connect to our system in Green Hall. 

Submit this application and be the newest vendor added to our list.

Application
Business
Name of Business/ DBA
Name of Store Manager		Contact E-mail (required)
Business Address		City	Zip
Business Phone Number		Business Fax Number
Corporate
Corporate Owner Name
Corporate Owner Address		City	Zip
Corporate Phone
Background
State where business was incorporated		Type of Entity (i.e. General Partnership)
Name of Person Signing Legal Agreement		Corporate Title
Number of Years in Business less than 1yr 1-3yrs 3-5yrs more than 5yrs		Years Business has been in this location less than 1yr 1-3yrs 3-5yrs more than 5yrs
Type or Description of Business convenience store fast food grocery merchandise other
Reimbursment
Reimbursement Address (where you want checks mailed) Same as above Other(below)
City		State	Zip