To apply for a merchant account, complete the sort form below, and one of our representitives will contact you.

If you prefer, please feel free to call us directly at 877-232-2370!

Name:

Company:

Phone:

Email:

Does your business currently accept credit cards?
Yes
No

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

How much do you currently accept, or do you anticipate accepting, in monthly charges?
Under $5,000/month
$5,000 - $10,000/month
$10,000 - $20,000/month
$20,000 - $40,000/month
$40,000 - $100,000/month
Over $100,000/month

What do you anticipate to be your average individual charge amount?
$1 - $50/transaction
$50 - $100/transaction
$100 - $1000/transaction
$1000+/transaction

What is your most likely method for accepting credit cards?
Manually swipe cards at a retail store or rest
Through a website or online business
By phone or through mail order
Manually swipe cards at mobile bus./trade show
Other

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