MERCHANT APPLICATION

Be approved for a merchant account  today! 

Call 888-401-2400 or answer the following questions to be approved

for your new Merchant Account.

1. Business Type:	Retail Restaurant eCommerce MOTO (Mail / Telephone Order Business to Business Other
2. Monthly Credit Card Processing Volume:	$0 - $5,000 $5,000 - $10,000 $10,000 - $30,000 $70,000 - $100,000 $100,000 - $500,000 $500,000 +
3. Average Sale Amount:	$0 - $40 $50 - $100 $100 - $200 $200 - $500 $500 - $5,000 $5,000 - $10,000 $10,000 +
4. Are you currently processing Credit Cards?             Yes No
5. Contact Information
Business Name:   Number of Locations:
*First Name:  Last Name:
*Work Phone: Cell Phone:
*Email: State:
6. Type of Products / Services  Sold:
7. Please list your specific business requirements: