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Merchant Account Pre Application

Don’t put it off any longer, having a merchant accounts can help increase your business sales and profit. Complete this short form below and we will contact you to answer all your questions and help you get started. It’s just that easy!

Does your business currently accept
credit cards?

Yes No
Are you currently in need of credit card processing equipment or software?

Yes No Unsure
What is/are your most likely method(s) for accepting credit cards?

Manually swiped cards at any retail store or restaurant

Through a website or online business

By phone or through mail order

Manually swiped cards at a mobile business or trade show

Other:

Business Name
Type of Products Sold
or Services Provided
Contact Name *
Contact Phone Number *
State
Contact Email Address *
Confirm Contact Email Address *
Additional Questions or Comments which may help us to respond to your request
 

 
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