Mariana Tek: Stripe Terminal Order Form

Please note the following:

Completing this form does not order the terminal. We will reach out to you after receiving your order form to schedule a short call to collect your credit card information to complete the order.
If you would like your hardware shipped to multiple addresses, please complete one order form per shipping address.

Are you authorized to place orders on behalf of the business?
*This question is required. Please note, only ADMINS in Mariana Tek can enable the terminal once it arrives. If you do not have the ADMIN role for your studio, please work with the studio owner or your HQ to setup the terminal.

Yes - I can confirm that I am authorized to make this purchase

Your Information *This question is required.

Name
Email Address
Studio Brand

Terminals
The cost of TERMINALS varies by model and country.
The WisePOS E terminal is $249US / CA$299 / £179.00 / $329AUD (available in the US, UK, Canada and Australia).
Shipping and handling is additional. Terminals are used to accept payments in studio.

This is the only terminal that is compatible with Mariana Tek.

Docks
What is a dock and do you need one?
Docks are optional however are encouraged in the case of a wireless/router terminal issue.
They are hard wired into your ethernet connection and act as a charging station for the wireless terminals.
If your ethernet connection is not near the area where you will be using the terminal (typically around the front desk) then the dock will not be useful for you.

The cost of Docks varies by model and country. The WisePOS E terminal doc is $49US / CA$65 / £39.00 / $75AUD (available in the US, UK, Canada and Australia). Shipping and handling is additional.

How many terminals would you like to purchase? *This question is required.

How many docks would you like to purchase? *This question is required.

Shipping Method *This question is required.

Recipient's Information Please note that a signature will be required. The phone number you provide will be shared with Stripe and the shipping company.

Recipient First and Last Name *This question is required.

Street Address *This question is required.

Apt/Suite/Office

City *This question is required.

State/Province *This question is required.

Zip/ Postal Code *This question is required.

Country *This question is required.

Email Address *This question is required. This question requires a valid email address.

Phone Number *This question is required.

Your Mariana Tek representative will schedule a call to collect credit card information. Mariana Tek will place the terminal order(s) on your behalf, using the card provided. Payment is required before Mariana Tek submits your order to Stripe. Please note that the Stripe terminal is non-refundable.

I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify the Company in writing of any changes in my account information or termination of this authorization at least 30 days prior to the next billing date.If the payment due dates fall on a weekend or holiday, I understand that the payment may be executed on the prior day. I understand that because this is an electronic transaction, these funds will be withdrawn from my account as soon as the payment is due. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that the Company may at its discretion attempt to process the charge again, and agree to an additional $25 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized payment.I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute this recurring billing with my bank so long as the transactions correspond to the terms agreed upon with the Company. *This question is required.

I Understand

Please sign to authorize Mariana Tek to order your terminals + shipping and handling. *This question is required.

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