Stop losing sales because you don’t accept credit cards. With our Free No Obligation Merchant Account Application, you can be accepting credit cards within 1 to 2 business days. Please complete the form below and a merchant account specialist will contact you shortly to walk you through the simple and easy process. If you have any questions, please call us toll free at 800.364.8835 ext. 201.

NOTE: This pre application is for US — Based Businesses Only.

Merchant Account Application

1. Business Name:
2. First Name: (required)
3. Last Name: (required)
4. Title:
5. Business Address:
6. City:
7. U.S State:
8. Zip Code:
9. Business Telephone: (required)
10. Mobile Telephone:
11. Website
12. E-Mail: (valid email required)
13. Type of Account: None Internet Phone Order Retail Restaurant Wireless Mail Order Telecheck
14. Do You Currently Accept Credit Cards?: None Yes No
15. Average Per Sale Amount: None $0 - $100 $100 - $500 $500 - $1,000 $1,000 - $2,500 $2,500 - $5,000 $5,000+
16. Anticipated Monthly Sales Volume: None $0 - $10,000 $10,000 - $25,000 $25,000 - $50,000 $50,000 - $100,000 $100,000+
17. Type the letters you see

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