Manage America Request Form

Contact Name*

First Last

Email*

Phone*

Request Type (Select from drop down list)

What would you like to do? (Select from drop down list)

Update My Bank Account

Will billing fees be allowed on this new DDA?*

Yes
No

Is change requested for one location?*

Yes
No, this is for mutliple accounts
Not Applicable

Please note that to change your Bank Account, you will need to have the principal on file sign. If you do not know who the principal on file is, an Account Processing Specialist will let you know.

Update My DBA

Current DBA

New DBA

Update My Descriptor

Current Descriptor

New Descriptor

Update My Email Address

Current Email Address

New Email Address

Update My Phone Number

Current Phone Number

New Phone Number

Close My Account

What services will you be cancelling? (check all that apply)

ACH
Credit Card
Check Scanning/RDC

Is this for one Location?

Yes
No, this is for multiple accounts
NA

Change of Officer

What payment methods do you currently accept with IntelliPay? (check all that apply)

ACH
Credit Card
Check Scanning

Is this for one location?

Yes
No, I have multiple accounts
NA

Please note that to change the officer/signer on your account, you will need to have the principal on file sign. If you do not know who the principal on file is, an Account Processing Specialist will let you know.

Other Support Inquires

Please the describe reason(s) for contacting IntelliPay

Deposit/Batch Issues/Inquiries

Please Choose:

I have not received funds
Deposits do not match sales
I do not recognize a charge

Payment Issues

Please Choose:

I have received an error when attempting to take a payment (please include incident ID below)
Our client(s) have received an error when attempting to make a payment
Batch upload terminal issues

Incident ID

Only required if you have received an error when attempting to make a payment.

Reporting/Reconciliation

Please Choose:

Training - what report(s) should I use?
Reports do not match deposits

Hardware - Readers/Swipers/Scanners

Please Choose:

Scanner Support - call 855-872-6632 option 4
My terminal is not working
My swiper is not working
New equipment

Velocity/Volume Requests

Please describe your request below:

Other

Please describe your request below: