The information below will be used to create your Sidglo client file and generate an application for signature. The application will be sent to the primary signer's email submitted on this form.

The signer for the application.

Please indicate who will be the main point of contact for communications and operations of this merchant account.

Please indicate the desired number of items below, if you do not wish to order an item simply place the number 0 in the corresponding field.  

Nexgo N5 $300
Nexgo N5 (with cellular) $300 + $10/month

If you would like for either your logo or a custom message (or both) to be displayed on the customer receipts, please provide us with the desired information below.

Note: Our preferred file types are JPEG and PNG.

The text you submit below will appear at the bottom of the receipt, this can be a single line or a multi-line message (Ex. custom phrase, business name, phone number, address, etc).

Note: Please provide the text as you would like it to appear on the receipt.