Credit Card
ACH E-check Services |
Ownership: |
Proprietorship
Partnerhsip
Corporation
LLC
NonProfit |
Type of Business |
Retail
Wholesale
Restaurant
Lodging
Convenience Store
Supermarket
MO/TO
Home Business
Trade Fairs
Outside Sales/Services
Internet Only |
Does this location currently accept Visa/MasterCard? |
Yes
No |
Monthly average volume
Or
Annual average volume
|
|
Sales Method (Total must be 100) |
Retail Swiped
%
Hand Key No Imprint
%
Hand Key With Imprint & Signature
% |
Do you need accounts in addition to Visa/Mastercard,
and whether or not you have current accounts.
|
American Express
Do you have a current account?
Yes
No
Discover
Do you have a current account?
Yes
No
Diners/Cart Blanche
Do you have a current account?
Yes
No |
Retail Store Front
Office/Warehouse
Residential
Other:
|
Have principals filed bankruptcy during the past
two years? |
Yes
No |
Note: Please double check all your information for accuracy and completeness before submitting. We only need one form; please don’t submit multiple times.
A hard copy of the merchant processing agreement (MPA) must also be submitted. We’ll call you within 24 hours of your submittal to collect additional information, since we don’t ask for anything confidential via internet. After our chat, we’ll send you your completed application for approval, and once you approve it, we’ll start business! Submitting your form puts you under no obligations. Feel free to call or email us beforehand with any questions. |
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