SuperSonic POS Order Form

External Agent Order Form

Upfront Cost

NOTE: This does not include all possible order options, many other options & pricings exist. Pricing here is subject to change, for the latest pricing and for other hardware configurations - please refer to our E-Commerce @ https://petrooutlet.com/shop

POS Bundle(s)

Price: $1,499.00

Commission/Unit(Required)

Camera Bundle(s)(Required)

Price: $120.00

Cellular Modem(s)(Required)

Price: $250.00

Normal Failover Cell plan (requiring EdgeRouter X) is $19/month, primary cell plan (TP-Link or EdgeRouter) is $50/month. Can bring their own GSM Cell Plan (T-Mobile, AT&T, etc.) for free.

Subtotal

This is pre-tax, we currently only collect Sales Tax in Florida - at the destination county rate. Free-shipping for the POS Order, if paying by CC there is a 3% Surcharge.

Account Boarding Info

Chain/Company Name(Required)

Store Name(Required)

Store Phone(Required)

Owner First Name(Required)

Owner Last Name(Required)

Owner Phone(Required)

Owner (Login) Email(Required)

Store Address(Required)

Agent Name(Required)

Agent Email(Required)

Ship to Store?(Required)

Ship to(Required)

Cell Plan(Required)

SaaS Plan(Required)

CC Processor(Required)

POS Buttons(Required)

PIN Debit Button

EBT Button

Neither

Dual Pricing %(Required)

VAR Sheet(Required)

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 2 MB.

Void Check/CC (SW)(Required)

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 2 MB.

Misc. Files

Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 2 MB.

Additional Helpful Files for us to have (i.e. Gas Station Photos/etc.)

Special Notes

Special Notes/Extra Hardware Requests/Payment Plans/etc.

Remember to request management permission for special exceptions, any pricing adjustment will be confirmed w/ management.