Merchant Services Online ApplicationSubmit a No-obligation Rate Quote Request - Your Information is Kept Private

Fill out our online application and one of our merchant services specialists will review your account, provide you with business specific rates and discounts, and complete the setup process with you.

Contact Information:

Preferred Contact Name (required)

Best Phone To Reach(required)

Email Address (required)

Business Information:

Business Legal Name (required)

Doing Business As - DBA

Business Street Address

Business City

Business State

Business Zip Code

Business Country

Business Phone Number

Business Fax Number

Date the Business Opened

Business Web Site (requires http)

About Your Business:

Type of Business

Are you a licensed firearms dealer (FFL)

Short description of your products and services

% of Internet Sales

% of Phone Sales

% of Face to Face Sales (Swiped)

Estimated Average Credit Card Sale $(required)

Estimated Gross Monthly Credit Card Sales $

Have you ever accepted credit cards?

Do you currently accept credit cards?

Equipment Needs

Owner Information:

Business Owner 1 Name (required)

Percent Owned (required)

Home Address

City

State

Zip Code

Country

Rent or Own Home

Credit Rating

Business Owner 2 Name

Percent Owned (required)

Home Address

City

State

Zip Code

Country

Rent or Own Home

Credit Rating

Feel free to ask questions or give additional information or feedback:

Other Notes