Apply For Merchant Account | Credit Card Processing & Accept Payments Online

Apply For Merchant Account

Merchant Account Pre-Application

Need Assistance? Call 866-783-8380

Step One – Business Information
Legal name of business:
First Name:
Last Name:
DBA (doing business as):
Telephone Number:
Fax:
Street address:
City:
State:	ZIP:
Country:
Describe your business:
Estimated average monthly volume:	$ (ex. 10,000.00)
Highest estimated monthly volume:	$ (ex. 50,000.00)
Estimated average sales amount:	$ (ex. 12.50)
Highest estimated ticket amount:	$ (ex. 500.00)
Current URL (if applicable):

Step Two – Ownership Information
Type of ownership:
Principal's legal name:
Ownership %:
Home telephone:
Home address:
City:
State:	ZIP:
Country:
E-mail:
Date of birth:

Comments or Questions?

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