Blackhawk Network OnBoarding Portal Merchant User Manual
Contents
1. ves Merchant user manua RE 2 10 PM 5 You will be directed back to the Merchant log in screen 6 Enter your user name and password that you just created and click log in BLAC KHAWK E T W O R Blackhawk Network Merchant Onboarding Windows Internet Explorer a go 14 http demo efficientforms com consumerApps_clients BHN_ Seat ati HEBA E 3 3 m T 22 BLACKHAWK Merchant Login wep Password Forgot your password If you are a first time user please register using the link above First Time User Click here to register Welcome to the Blackhawk Network OnBoarding Portal Please enter your User ID and Password and click on the Login button Calendar Microsoft ER Agenda Items for 4 0 Blackhawk Network uw Merchant user manua 7 There is no need to create a new user name again The user name and password you just created will be used each time you log into the system 10 222 BLACKHAWK m Initial Application After logging in you will be brought to the Merchant Application first page If you have all the necessary information click continue Note if you cannot complete the entire interview at the same time you can complete current page and click Save amp Exit this will allow you to log off and log back in to complete the interviews W eee ak New Combination of Events 1 2 amp 3 1 Initial Application Mer2. POS software version POS Software Reseller Contact Name and Phone Number Payment software name If Other please specify Payment software version PAYMENT Software Reseller Contact Name and Phone Number PIN pad software vendor Third Party Payment Processor If Other please specify Program Configuration Activation method Activation point Back 8 If you choose No you will need to provide other configuration information such as your IP address Gateway Paygo Terminal info etc 22 222 BLACKHAWK New Combination of Events 1 2 amp 3 1 Initial Application A Technology Setup 2 Contract Agreements sedes Store Name Black Market 4 Required Items Event 3 Store 1234 Please coordinate with your Store IT contact for providing the information below Client Payment In A Box Configuration Stand Beside Terminal Manager s code ie Clerk Code Select 4 digit numeric code Manager code cannot be part of the phone number address or other store information for security purposes Additional Information Per Store Number of terminal required per store v Only 1 terminal is provided at no charge Merchant is reponsible for additional terminals Is the connection Ethernet intemet or Analog Dis up If Analog a separate phone line is necessary v Is IP address behind a firewall that will allow outbound connections from the available port ha 9 Click on the edit icon next t
3. WV G Business Legal Name Blackhawk LLC Business DBA Name if different than legal name Blackhawk Grocery 14 At this point you are back to the main page and you will see that the status states pending additional signature Congratulations You have now completed the online Onboarding Process At this time your wholesaler and Blackhawk Network will review all of your information and may contact you if there are any additional questions 24 222 BLACKHAWK VII How to add Attachments Additional information to be faxed or attached During the onboarding process you are asked to supply additional information to Blackhawk Network Ex AML Procedures ACH form and voided check You may send this information by fax to 925 467 3929 or attach documentation within the portal To attach documentation within the portal Under the appropriate description number click on the Submit Attachments link Blackhawk Motwork Marchant Onboarding Windows Internet Explorer aificentf one com oc e Fin Favorbes Took Help Ug frote c gig Pres totnal E Get More Add ons BLACKHAWK My Apphicatons Registration Details Logout Welcome to tha Application Portal The Online COnEosrding Interview consists of 3 sbepa 1 Competing the initial Application questionnaire This step includes aj Electronic signature on the HOA amd Application when applicatie Bh Feier and approva of fh applicati
4. of Events 1 2 amp 3 1 Initial Application 2 Contract Agreements 3 Store List 4 Required Items Event 3 Store Name Blackhawk Market Technology Setup Stores Click the edit button for each store to select technology needs Store 1234 Tech Needs Not Selected Activation Method Back Save amp Exit 5 Click on the edit icon next to each store name to add in their technology setup a Tech Needs will change to your selection when each store is completed 6 The first question you must answer to continue forward with this section is Will this be a POS integrated solution 22 BLACKHAWK New Combination of Events 1 2 amp 3 1 Initial Application 2 Contract Agreements 3 Store List 4 Required Items Event 3 A Technology Setup Store Name Store Blackhawk Market 1234 Will this be a POS integrated solution Activation occurs at register Save amp Exit 7 If you choose Yes you will need to enter in all POS configuration information 20 22 BLACKHAWK a RACE R K New Combination of Events 1 2 amp 3 1 Initial Application 2 Contract Agreements 3 Store List amp 4 Required Items Event 3 e Technology Setup Store Name Blackhawk Market Store s 1234 Please coordinate with your Store IT contact for providing the information below Client POS Configuration POS software name If Other please specify
5. person for the merchant First Name Middle Name Last Title Street City State Zip Code Phone Number ncugde ses cade ee eem R 7 Fax Number nciude area code ee emm Email Mame of Signer 12 Merchant Application Business Information Business Legal Name O Business DBA Name Name of Parent Company rase p Primary type of business Type of Legal Entity Other provide Federal Tax ID ses Or If Sole Proprietor enter Social Security Humber scis Security Number is required fo meet regulatory and iegai requirements regarding customer identification and authentication as t reiates fo the Patrint Act Customer identification Program and Card Association Requirements ee State of Incorporation or Formation Number of Store Locations Are all locations wholly owned If no how many locations are not wholly owned or are franchise locations Primary Contact Information Phone Number mnclude ares code Se SV SE Headquarters Physical Address imo P C Boxes Slate Zip Code Street City a _ 1 27 BLACKHAWK N E T W Q R K Years at this Physical Address Headquarters Mailing Address amerent than Physical Address P C Boxes OK Street City State Zip Code Business Phone incide ares code Sees mm lt Business Fax inc
6. Blackhawk Network OnBoarding Portal Zz tek Merchant User Manual 225 BLACKHAWK Welcome to the Blackhawk Network Onboarding Portal Welcome to Blackhawk Network OnBoarding Portal application This new application allows you our partner to perform the onboarding process all online Now everything can be filled in approved and ordered with a few clicks of the mouse Benefits Web based e Simple questionnaire to complete to streamline process and remove redundancies e Electronic signatures E mail notifications e Greatly reduced processing time simple log on to www Blackhawknetwork com Some information you will need to get started e Federal Tax ID e Owner Officer information e Banking Information e Store details Billing and Shipping information Technology Needs Requirements Fixture needs Accounting and IT information It s as easy as 1 2 3 And you will be on your way to selling Gift Cards II IV VI VII VIII IX Table of Contents Overview Logging in Initial Application Contract Agreement Store List Onboarding Application How to add Attachments Page 4 Page 5 9 Page 10 15 Page 16 Page 17 Page 18 23 Page 24 25 How to esign Principal Owner signature s of 25 or greater ownership will be required to provide a signature FAQ Page 26 29 Page 30 22 BLACKHAWK I Overview Welcome to Blackhawk Network OnBoarding Portal application Th
7. Program and Card Association Reguirements emai Month Day Year Date o Bit Ownership Y Month Year Owner Since avv Home Address no P O Boxes Street State Zip Code Citys pom pnm Ead Years at this Physical Address m Home Phone include area code 222 222 2228 Cell Phone include area code 98 66 888 1 Zz BLACKHAWK amp 1 Initial Application A Merchant Application Principal Information Owner Officer Summary Name Title Ownership Frances Yim VP 25 15 E T 0 57 BLACKHAWK 4 Click continue to proceed forward with entering Banking information Note Banking institution is required because BHN upon regulatory requirements must obtain the name and address of the institution the distributor uses forthe collection and deposit of consumer funds Zp BLA KHAWK New Combination of Events 1 2 amp 3 amp 1 Initial Application A Merchant Application 2 Store List Banking Information of Financial Institution Depository Account Physical Street Address No Bowes wo PO Bores Street City State zip Code 5 Click continue to proceed forward filling out the Anti Money Laundering Compliance Information J LJL Anti Money Laundering Compliance Information As a distributor of Prepaid Access Products e g Stored value Retail Gift Cards Prepaid Gift Cards Re loadable Debit Cards we require tha
8. ards This timeline is provided that no additional information is needed to approve your application 3
9. chant Application Before proceeding with the application please ensure you have the following information Federal Tax ID Ownership Officer information including social security numbers and birth dates BN EET Save amp Exit Group 45770 Group Display Sequence 1 Name Initial Application Jumn ta Pane Reramnile 2 Enter in all required and applicable information Click continue to proceed through application 1 2 BLACKH Za BLACKHAWK AWK O R K New Combination of Events 1 2 amp 3 amp 1 Initial Application 2 Store List A Mutual Nondisclosure Agreement Click here to review the Merchant User Manual During the OnBoarding process your wholesaler may need to assist you with and or approve parts of the application Do Please note that if you choose no you will not be able to proceed with the onboarding process online You will need to contact your wholesaler to onboard via paper forms which may slow down the process Click here to view information you may be requested to ide dunng the interview You must agree to the terms and conditions contained in the Blackhawk Mutual Hondisclosure Agreement to proceed with the application Do you agree to the terms and conditions set forth in the Blackhawk Network Mutual Nondisclosure Agreement Yes v Click here to view the NDA Are you tranfeming from one wholesaler to another Yes amp No Mame and contact information of the primary
10. e List amp Store This is your wholesaler assigned store number If the Store Number is not available please contact your wholesaler for the Store Number Store Name Address Street City State Zip Code Country Phone Number include area code 598 858 888 Fax Number include area code 228 222 2282 Contact Name Save amp Exit Group 46027 Group Display Sequence 16 Name Store InitAddChg l Mene 3 If you have more than 1 store click add store for each additional store To delete store from the list click on the x and to edit any store information click on the edit Icon 72 BLACKHAW N E T w R K New Combination of Events 1 2 amp 3 1 Initial Application S r ist A tore L 2 Contract Agreements amp 3 Store List Stores Please click the edit button for each store to edit information Store Name Store Blackhawk Market 1234 EDIT Add Store Save amp Exit Group 46018 Group Display Sequence 15 Name Store List Jump to Page Recompile Reload Paae Reload all changes _18 27 BLACKHAWK VI Onboarding Application 1 You have completed the information about your stores Please click continue to proceed You will now be directed to the Onboarding details This will include all details of onboarding such as fixture requirements and technology needs per store 2 The first screen gives you some details as to what you w
11. ete rowenco EFFICIENT orms internet fg 25 On this page you may upload a new file and attach it Dlackhawk Hotwork Marchant Onboarding Windows Internet Explorer Ge le Petz j dersc afficiantfonta sepa Application Attachments Fax Your Attachments Merchant John Dee 1 Coversheet for the aitachment type Application Initial application uL Required aftachments are indicated with a bold ned Required You can either fax attacnmarnits the system using ihe provided OSes eu Upload amachrnerts direc a MA Upload Your Attachments Chek Indicates thal only one uploaded document is allowed for the dagli al 4 iti Browse in select me fin and select Attachment attachment type Subsequent uploads will overarie the previousty uploaded document 3 Ckck Upload The ugicada that multiple uptaaded documents are allowed tor the 2577 GAP amactmenttype Subsequent uploads will be listed separately urides thal aachiment Neu feani iiie paguta Fe aibi ii arde bo wher Pop allicere rj Mucho ile freer 226 222 BLACKHAWK VIII How to esign Principal Owner signature s of 25 or greater ownership will be required to provide a signature 1 Principal owners of 25 or greater ownerhip will
12. formation for the use designated f 4 Berl lla e KESIMI Tools Sign Comment BLACKHAWK AZ BLACKHAWK ri i 2 a Business Legal Name Congratulations You have now completed the entire online Onboarding Process At this time your wholesaler and Blackhawk Network will review all of your information and may contact you if there are any additional questions 30 2 BLACKHAWK IX Frequently Asked Questions 1 How do I change my password and or my PIN a Once you have logged in click on registration details You can change the main user s name email address password and PIN 2 Who do I contact with any questions regarding my setup or approval of the process a Contact your wholesaler or designated person for the Gift Card Mall at your wholesaler 3 How do know when completed all parts of the application a The status of your application will be Awaiting Wholesaler Review 4 What do I do if I do not receive the email after I e sign my application a Contact your wholesaler they will be able to re send the application through the portal and or correct the address if it was entered incorrectly 5 Whatis the general timeline for a new store to be set up and selling with the gift card mall program after the application 1s complete a Generally it can take 7 10 weeks for full setup This includes the delivery of fixtures technology validation and delivery of initial shipment of c
13. ger Safety Toos 2 BLACKHAWK N E T W 6 RR Welcome to the Blackhawk Network OnBoarding Portal Merchant Login Please enter your User ID and Password and click on the Login button User ID If you are a first time user please register using the link to the left Password Forgot your password First Time User Click here to _ Privacy Policy POWERED BY EFFICIENTforms Done J Trusted sites 4g Qio v TE C TR Inbox Microsoft Out uw Merchant user manua Blackhawk Network 2 Complete all fields a Email address is needed as this system sends notifications as to the status and next steps for the program via email b Password is used for signing in It must be 6 to 12 characters and contain at least 1 alphabetic character and at least 2 numeric characters write down your password c Pin is used for electronic signature and must be a four digit number not starting with 0 write down your Pin BLAC KHAWK E T WORE Blackhawk Network Merchant Onboarding Windows Internet Explorer Ge E http demo efficientForms com consumerApps clients BHN Olean Inv ClientSelfRegister asp i File Edit View Favorites Tools Help Eek Bes 1 jer To begin the process please provide the required information by filling in the boxes below and then hit Continue The following rules apply First name may not be blank Last name may not be blank Email addre
14. gn To review view the status of the forms please select the Sign Status option NOTE by e signing you are hereby authorizing Blackhawk Network Inc BHN to make inquiries from any federal or state agency credit bureau or law enforcement agency for the purpose of determining your financial responsibility and or general character This authorization relates to the distribution and processing of prepaid access products and the collection of consumer funds related thereto The following Application forms are associated with the Application that you are here to sign Description Date Account Owner Application Status Your eSign Status Blackhawk Network Combined Applications US 03 20 2013 Frances Yim Partially eSigned Select z if any changes are required contact the Freway s Customer Care Free Adobe Reader Downloads 6 Once you select eSign Account Forms The forms will populate 7 Enter new 4 digit PIN and click Approve 29 22 LAC KHAWK 222 Mack Profile If prompted to Open or Save the forms document please click Open eSign Account Forms Enter your PIN in the form below to approve the submission of your application information By entering your PIN you acknowledge and approve it to be your legal signature Note that by entering your PIN you are also affirming that you have provided to the best of your knowledge true and correct information You further acknowledge and approve the submission of this in
15. gn 11 Back on the main application page you will see that the status now states Interview Complete eSign needed 12 Scroll down towards the bottom of the page and click on the eSign link da My Applications 2 Registration Details Logout Welcome to the Application Portal 2 What s My Next Step The Online OnBoarding Interview consists of 3 steps When the My Next Step column reads No action required you have completed all steps for the request Not all options may be applicable 1 Completing the Initial Application questionnaire including an Electronic signature on S the NDA and Application when applicable E Select to complete the interview 2 Viewing and eSigning the Contracts Agreements including Electronic signature on the Select to sign the forms for the request contracts agreements Electronic Signature on the Side Letters when applicable G Select fo include required supporting documents 3 Completing the onboarding package i e ACH Store Lists Fixtures Terminal Orders ger Tech Setup etc including an Electronic signature of all forms m Review and approval of all applications will occur after Electronic Signature You will be notified via email once your application has been approved z Contact your Preway s Customer Care To review view your application please select the View My Form s option from the drop down list Name Teresa Phillips Phone Click here to view t
16. he Merchant User Manual Email Teresa prewaysales com My Next Step App Status Date Status Other Actions ckhawk Network Merchant Services Combined lications US 4 4 2013 10 38 31 PM Interview Complete eSign Needed A i s x Select v Can t view your forms Get the latest version of Adobe Reader gt For a complete description of your consent to use electronic records and your consumer protections click here 13 Please review the Nondisclosure Agreement and Merchant Application Then enter your pin and click approve Reminder This was established when you created your user name and password You can NOT type any information directly on any of the agreements all information is filled in from the answers provided in the Portal interview 202 BLACKHAWK 2 M E T W OO R K da My Applications Registration Details Logout If prompted to Open or Save the forms document please click Open eSign Account Forms Enter your PIN in the form below to approve the submission of your application information By entering your PIN you acknowledge and approve it to be your legal signature Note that by entering your PIN you are also affirming that you have provided to the best of your knowledge true and correct information You further acknowledge and approve the submission of this information for the use designated fa dz LF e 1 5 E Ri 7 Tools Sign Comment AT A BLACKHAWK d
17. ill need to proceed F BLACKHAWK New Combination of Events 1 2 amp 3 1 Initial Application A Onboarding Details 2 Contract Agreements 3 Store List Before proceeding with the Onboarding details please ensure you have the following information Store numbers addresses etc Billing and Shipping information Technology needs please consull with your wholesaler IT contact for providing this information Accounting and IT contact information Banking details including account number routing number if applicable 3 Fixture information for each store must be entered Please click the edit button to complete fixture information for each store until all stores have YES under Fixtures Verified also ensure that you are selecting a minimum of one of the Primary fixtures and as many Secondary as you would like Faz BLACKHAWK New Combination of Events 1 2 amp 3 Initial Application A Store Fixtures 1 2 Contract Agreements 2 tore List You must complete the fixture selection for each store before you may continue amp 4 Required Items Event 3 Please click the edit button to enter information regarding Fixtures for each store After you have edited a store the Fixtures Verified column will change to Yes Fixtures Store Name Store Verified Blackhawk Market 1234 NO Save amp Exit 4 Now you must indicate your technology needs 19 Zp BLACKHAWK UM New Combination
18. is application allows you our partner to perform the onboarding process all online This manual provides instructions on how to use the OnBoarding Portal application There are three major steps to this application that are in a combined application that must all be completed 1 Initial Application NDA In this step the merchant will provide their contact information Business information owner and or officer information Banking and AML information and sign off on our nondisclosure agreement 2 Contract Agreement In this step the merchant will need to eSign our agreements including the Merchant Marketing Agreement or Alliance Partner Agreement terms and conditions if applicable 3 Onboarding Application In this step the merchant may be required to perform a ACH preauthorization provide their store information request fixtures and technology needs for each store as well as provide all necessary technology information to install activation systems If you need assistance at any time during this OnBoarding process please call BHN Customer Care at 888 229 2932 or your wholesaler directly Fiz BLACKHAWK Logging In 1 To begin the onboarding process please log in to www Blackhawknetwork com 2 Select Partner Services Zaz BACKHAWK Partner Services Contact Us 3 8 1 Products Channels Consumer Insights lechnology About Us Investors Careers LEADING THE PREPAID INDUSTRY As consumers widely ad
19. lude area code Se Month Year Date Business Established nae v Website address Accounting Information Accounting contact name Accounting contact number inciude area code Accounting contact email Additional Questions How do you market operate your business Please check all that apply B2C B2B E Is your business a registered Money Service Business Yes 2 No Does your business possess a Money Transmitter License Yes No 3 When entering in Owner Officer information if you should have more than 1 owner officer click on the add owner officer button to create additional entries Please note that only those principal owners with 25 or greater ownership will be required to provide a signature Principal owner s will receive an email that will prompt them to e sign through the email link to proceed forward with launch 14 Zz BLACKHAWK MSS K Ww T W 9 RR A amp 1 Initial Application e Merchant Application Principal Information Please provide owner information below Only those owners with 25 or greater ownership will be required to provide a signature P P COUNT ee HU QNIN UM 20 en ee Tite n Social Security Number 42 44 4348 Social Secunty Number is required to meet regulatory and legal requirements regarding customer identification and authentication as it relates to the Patnot Act Customer Identification
20. o each store name to add in their terminal selection a Terminal selected will change to yes when each store is completed i This step is not necessary for any stores that are POS Integrated New Combination of Events 1 2 amp 3 1 Initial Application Terminal Order 2 Contract Agreements 3 Store List Stores Click the edit button to select terminals for each store amp 4 Required Items Event 3 You do not need to select terminals for the stores labeled Not applicable Store Name Store Terminal Verified Blackhawk Market 11 Yes Save amp Exit 10 When you have added all your technology needs click continue You have come to the end of the Onboarding Application section You must now click continue to eSign the application DD a E 4 W 37 BLACKHAWK ET ag ACE New Combination of Events 1 2 amp 3 1 Initial Application Continue to eSign 2 Contract Agreements 3 Store List amp 4 Required Items Event 3 a To facilitate the next steps required to launch Blackhawk Gift Card Mall in your location s please open and print the following documents below Click here for Blackhawk Gift Card Next Steps Click here for POS testing barcodes You have completed the Blackhawk Merchant Onboarding Portal Application To continue you must eSign the onboarding details Please click on continue questions to proceed Continue to eSi
21. on c You will pe notified via email ence your application has been approved At his point you may begin Step 2 3 Veinwing and esigning thi ContracTe Agreements This sftp includes Electronic Signature on Ime eontracms agreemenis bi Electrorsc Signature on the Side Letlers eden applscable Contre wiih Step 3 X Competing onboardimg package ie ACH Store Lists Fixtures Terminal Orders Tech Setup etc a riecmonec signature uper COMPR nen oT am terres My Hed Step Applicalion Desoiplion Status Bale a al 1812011 2 43 58 PM No action required Combed Agreement Wad 1 3 38 4 amp PM lication 11 3 12 Mon OF Adopt Header B Lori sin oir 7 Gut Taie we Forms compas chien sso nf your in usa mdr ree and gnus coe D dp LED H5 171 wi Ex E Pages Safety Took what s My Hext Step Wihes the Diy Meal Siep um reads No action required yos have all fee the neque Hel all may be appkcabie Ceken m eeemglebs mus mien Select bo sign the forme for the request JF o Sabab incus required amp ucportng pner g ans fic Contact your Olean Customer Care Name Rea for Olean Phone Emak for iem Males Other Actions Ready for Wholesaler Review E Ri for Wholesaler Peary for olexaler Renew Ep z Ready for Wholesaler Review E Pee P
22. opt prepaid Blackhawk is there to meet their needs with Deep industry knowledge operational marketing and merchandising expertise A wide variety of market leading prepaid products Advanced cutting edge technology The Revolution 90 strong Leading B2B mL kaia In the News Blackhawk Network to Acquire InteliSpend Prepaid Solutions October 23 2013 3 Click on Merchant Onboarding Zz BACKHAWK Partner Services Contact Us 841 Products Channels Consumer Insights lechnology About Us zr PARTNER SERVICES PARTNER SERVICES Partner Services Blackhawk Network offers an array of expanded services to support our valued partners gt Merchant Onboarding gt Electronic Data Interchange gt Handset Returns Merchant Onboarding Gift Card Questions If you are affiliated with a wholesaler and would like to become a Blackhawk Network retail distribution partner you can gt Terminal Solutions PayGo submit our online onboarding form Electronic Data Interchange Blackhawk Network can support EDI exchange Here you will find our Trading Partner Onboarding Form and key specifications to support an expedited implementation process Handset Returns Here you will find information related to the Handset Returns process including key procedures and forms C01 YN Gift Card Questions Send questions about or problems with Gift Cards including issues with card activation or redemption los
23. receive an email from system efficientforms com Subject line Wholesaler name xxx Ready for eSignature by Owner Name xxx combined application 2 You will be directed to click on the link within the email Preway s Ready for eSignature by Frances Yim Combined Application system efficientforms com Thu 3 7 2013 2 05 PM lil Frances Yim Dear Frances Yim You have been identified as a required signer for the following application Merchant Frances Yim Application Combined Application The application forms have been finalized and prepared for eSignature Follow these steps to complete the process 1 Use the link below to access your secure Signer Portal demo efficientforms com BHN Preway Inv docSigner asp id 0343DB0246944BD68bE6BAD372B5463C6 id Log in supplying the the requested information and establish a new PIN number required This PIN number will be used as your electronic signature for this request 3 Select the Sign Forms button 4 Enter your PIN then click Approve to electronically sign and approve this application Thank you Your Preway s Customer Care This email has been generated automatically so please do not reply to this message If you attempt to reply you will receive an email delivery failure 3 Once you click on the link you will be prompted to enter in your email address and the last 4 of your SSN 97 LAC KHAWK E Document Signer Authentication Welcome to the Blackha
24. ss may not be blank Second Email address may not be blank User ID may not be blank Passwords cannot be blank Indicates required field Account Information 7 0 Login Information User ID fs Creste User ID that is easy to remember Password Confirm Password Minimum of 2 number s Minimum of 1 alphabetic character s Personal Identification Information This PIN confirms your consent to electronically receive records You will enter this PIN when electronically signing documents PIN Must be 4 non repesting numbers and cannot begin with zero 0 For a complete description of your consent to use electronic records and your consumer protections click here 6 Inbox Microsoft Out Agenda Items for 4 0 Blackhawk Network 3 Click Continue when finished 4 Click Continue again Merchant user manua 1 59 PM BLACKHAWK N E T W O R Blackhawk Network Merchant Onboarding Windows Internet Explorer Mef GO stfidentfoms comiconsumerapps_cents BHN_OleanjInv_Cient5eFRegster2 asp ERN JAAA 1 File Edit View Favorites Tools Help od Favorites q5 E Free Hotmail E Get More Add ons B 22 BLACKHAWK User Created Successfully Please select Login on the next page and enter the user ID and password you just created Privacy Policy owento ov EFFICIENTforms LG Calendar Microsoft Agenda Items For 4 0
25. t or stolen Learn More gt 4 Then select click the wholesaler that you are a member of _5 Z BLACKHAWK N T oO R K E Partner Services Contact Us G 9 1 Products Channels Consumer Insights Technology About Us Investors Careers News MERCHANT ONBOARDING PARTNER SERVICES Merchant Onboarding Welcome to Blackhawk Network Onboarding Portal application This application allows you our partner to perform the gt Electronic Data Interchange onboarding process all online gt Handset Returns Merchant Onboarding Please select from the Wholesaler list below gt Gift Card Questions AF Amarillo gt Terminal Solutions PayGo AF Midwest AG Florida E Alex Lee GiftCardMalcom Alpha 1 nti Associated Grocers of Baton Rouge ift Associated Grocers of the South 7 ANY A 1 b Associated Wholesale Grocers Associated Wholesalers Inc Bozzuto s C amp S West As a new user you will be required to create a user name password and PIN 1 On the opening page click 222 BLACKHAWK Blackhawk Network Merchant Onboarding Windows Internet Explorer n https appoint efficientforms com consumerApps_clients BHN_Olean Application_clientlogin asp 4 9 X Mc gle Pe Favorites Free Hotmail Get More Add ons gt gt f Blackhawk Network Merchant Onboarding d Pa
26. t you have a written AML Anti Money Laundering Compliance Policy and Procedures for Prepaid Access Products Do you have an Anti Money Laundering Policy that includes policies and procedures towards the sale of Prepaid Access Products Yes Note Western Union or MoneyGram AML Policies will require amendments to include Prepaid Access sales No If Yes please attach the file at the end of the interview process If No Blackhawk Network has a template policy that you can adopt as your own Please click here to view the template policy please read carefully as this document will be your corporate Anti Money Laundering policy towards the sale of Prepaid Access Products Yes Do you wish to adopt the template policy No Note If Yes you can view and print your corporate AML Policy for Prepaid Access Products one of two ways During the eSign ceremony all forms will be viewable including the information you ve provided There will be an Adobe print icon above the viewable packet After eSigning you may select View My Forms from the Other Actions drop down menu on your Application Portal Provide Designate Compliance Officer or someone who can be contacted by Blackhawk Network for AML Compliance purposes Name Frances Yim Title Store Manager Phone Number 925 226 9832 16 222 BLACKHAWK IV Contract Agreement 1 You have completed the first step of the Blackhawk Merchant Onboarding Applica
27. tion Please click continue to proceed You will now be directed to contract agreement section where you can view the Merchant Marketing Agreement or Alliance Partner Agreement as well as any necessary side letters as it is set for your associated Wholesaler 2 Once you have read the agreements click continue Fiz BLACKHAWK New Combination of Events 1 2 amp 3 1 Initial Application amp 2 Contract Agreements A Contract Agreements Merchant Marketing Agreement Click here to view the Pigaly Wigaly Midwest Merchant Marketing Agreement Side Letters Click here to view the American Express Side Letter Click here to view the MasterCard Side Letter Click here to view the Gap Gift Card Acknowledgement Agreement Click here to view the Kohl s Gift Card Acknowledgement Agreement Click here to view the Blackhawk partner Nordstrom Gift Card Marketing Agreement Click here to view the Bed Bath amp Beyond Side Letter NL Save amp Exit 27 BLAC KHAWK V Store List 1 You have completed the second step of the Blackhawk Merchant Onboarding Portal Application Please click continue to proceed You will now be directed to fill out Store Selling Location s 2 Please enter your Store Location s Gf you have multiple stores you will have opportunity to add each stores information Zaz BLACKHAWK New Combination of Events 1 2 amp 3 1 Initial Application A Store List 2 Contract Agreements 3 Stor
28. wk Network OnBoarding Document Signer Portal Please enter you Email Address and PIN and select the Continue button If you are a wholesaler coming to this site for the first time please enter your Authorization Number as your PIN and select the Continue button To access the documents for signature please confirm your e mail address and enter the last 4 digits of your Social Security Number as your PIN then click Continue Note If you have previously signed this document but your signature is needed again due to changes in the document after you signed enter the new PIN that you created when you logged in the first time Email Address mes iili PIN D EFFICIENThire 4 You will then be prompted to change your 4 digit PIN Zaz BLA KHAWK Change Signer Authentication PIN For security purposes you must create a new 4 digit PIN to access the documents for signature Use this PIN for subsequent access to the document signature portal New 4 digit PIN Confirm new PIN Save and Continue Privacy Policy EFI ICIENThire 5 Once new pin is created select drop down to the right select sign forms _ 28 Zz BLACKHAWK 22 Profile Preway s Customer Care Preway Rep support efficientforms com Document Signer Portal The Document Signer Portal has the following options To view the form s please select the View Forms option To electronically sign the form s please select the eSi
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