NDC Setup Information for Theatre Manager

Company Information

Name:__________________________________________________________

Address: ________________________________________________________

City: ___________________________________________________________

State/Province: _____________________Zip/Postal Code: _________________

Phone: (_____)__________________Fax: (_____)_________________________

Contact Name: _____________________________________________________

Contact Phone: (_____)_______________________________________________

Contact Email: _____________________________________________________

Primary Access

[__] DataPac[__] Direct Network[__] SprintNet

Company Address

Country Code [3]: ___________________________________________________

City Code or Zip Code [5]: ____________________________________________

NDC Identifiers

Bank ID [6]: _______________________________________________________

Merchant ID [15]: ___________________________________________________

Category Code [4]: _________________________________________________

Telephone Numbers

Primary Authorization Phone: (_____)____________________________________

Alternate Authorization Phone: (_____)___________________________________

Primary Settlement Phone: (_____)______________________________________

Alternate Settlement Phone: (_____)_____________________________________