Fax Forms

FAX FORMS

ORDER FORMS
>	Merchant Supplies Order Form Please print this form, fill it in, and fax it to (516) 484-9057 to order your terminal supplies.
>	Equipment Order Form This form can be used by ISOs with registered Lipman accounts to order POS equipment and supplies. Please print this form, fill it in, and fax it to (516) 484-9057.

DOWNLOAD FORMS
The download forms are used to provide customer service with the information needed to program Lipman Nurit POS terminals. After downloading the approriate form please print it, fill it in, and fax it to (516) 484-7093. If you need any assistance with filling out the forms or are unsure which form you require, please call (800) 454-7626. All forms are Microsoft Word 97 formatted documents unless otherwise indicated.

>	2059 Download Form The standard 2059 download form
>	ATM Download Form The standard ATM download form.
>	Generic Download Form The standard Lipman Nurit download form that can be used for all host processors
>	Support Fee Form Billing Form

HOST SPECIFIC DOWNLOAD FORMS
>	Apriva Download Form
>	Cardnet Download Form
>	FDR Omaha Download Form
>	Maverick Download Forms This .zip file contains (2) two documents which must both be filled out completely and submitted in unison
>	Nova Download Form
>	NPC/Co-Card Download Form
>	Nashville Download Form
>	Visanet Download Forms This .zip file contains (2) two documents which must both be filled out completely and submitted in unison.
>	Wells Fargo Download Form