Equipment Request

Enter your details and click SUBMIT.

Deployment requests received before 2:30PM will be shipped same day (within 48 hours if encryption needed) and shipping is contingent on the accuracy of the ISO parameter information.

Requestor Information
Date of Request
MM slash DD slash YYYY
Contact Name
Contact Phone
Contact Email
Purchase Order #
Programming Information
Industry Type
Hardware Type
Number of Terminals
FDO Merchant ID #1
FDO Device ID #1
DW Merchant ID #1 (needed for IP & 3G)
DW Device ID #1 (needed for IP & 3G)
FDO Merchant ID #2
FDO Device ID #2
DW Merchant ID #2 (needed for IP & 3G)
DW Device ID #2 (needed for IP & 3G)
FDO Merchant ID #3
FDO Device ID #3
DW Merchant ID #3 (needed for IP & 3G)
DW Device ID #3 (needed for IP & 3G)
FDO Merchant ID #4
FDO Device ID #4
DW Merchant ID #4 (needed for IP & 3G)
DW Device ID #4 (needed for IP & 3G)
FDO Merchant ID #5
FDO Device ID #5
DW Merchant ID #5 (needed for IP & 3G)
DW Device ID #5 (needed for IP & 3G)
Merchant Receipt Header Information
5 lines, 24 characters per line, including spaces
Merchant Receipt Trailer Information
5 lines, 24 characters per line, including spaces
- YES I Need The Internal PIN Pad Encrypted for PIN Based Transactions
Input The Required Encryption Key (required to fulfill encryption request)
- No signature required
No signature limits
- $50 and under
- $25 and under
- Auto Batch
Auto Batch settings
Logo On Display (only on Z6, Z9 & Z11).
Max. file size: 5 MB.
320x100 24-color .bmp
Printer logo available on all models. 320x100 24-color .bmp
Max. file size: 5 MB.
Max. size 320x320. Min. size 320x100. Grayscale or Monochrome .bmp
Deployment Information
- Ship to address on Receipt Header
Alternative Address
Shipping method (costs to be added)
- Extended Warranty Option
Special instructions (if applicable)
- DeNovo User
DeNovo Information
Merchant Full Name
First Last
Merchant Email Address
Merchant Contact Phone #
DISCLAIMER: ISO hereby confirms that it has completed the proper procedure to verify Mercury Parameters. Dejavoo Systems makes no warranty that the downloaded data is accurate, error-free or will operate without interruption; In no event will Dejavoo be liable for indirect, incidental or consequential damages, including, without limitation, loss of income, use or information. ISO here by agrees to (i) fully release and discharge Dejavoo from all claims, demands, and causes of action it may have against Dejavoo by reason of the foregoing; and (ii) indemnify and hold Dejavoo harmless from any loss, damage, liability or costs, including reasonable attorney fees, in connection with any claim of any of its merchant customers arising out of the data download. SENDING THIS FORM ELECTRONICALLY IS AGREEMENT TO THESE TERMS.
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Equipment Request

Enter your details and click SUBMIT.

Requestor Information

Programming Information

Merchant Receipt Header Information

Merchant Receipt Trailer Information

Deployment Information

DeNovo Information