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EBT Applications Service

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Elite Bankcard Solutions
Merchant Service Provider

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EBT Retailer Information Form

EBT Retailer Information Form

Please complete the below required information to the best of your ability. Include as much information as possible to help speed up the application process. You may return the complete document by fax email.
Once received, an agent will contact you within 24 to 48 hours to complete the process.

Telephone:

(855) 378-9991

Fax:

818-301-5192

Email:

info@developgroup.pk

Due to new regulations enforced by the USDA / FNS. If your business is in a Community Property State (AZ, CA, ID, LA, NV, NM, TX, WA, WyI) you must include the below information regarding your spouse.