Credit Card Processing and Merchant Account Information

Merchant Account Request

Does your business currently accept credit cards?     Yes   No   Are you currently in need of credit card processing equipment or software?     Yes   No   Not Sure   What is/are your most likely method(s) for accepting credit cards?     Manually swiped cards at any retail store or restaurant Through a website or online business By phone or through mail order Manually swiped cards at a mobile business or trade show Other, Please describe:        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 is, or do you anticipate, the average individual charge amount to be?     $1 - $50/transaction $50 - $100/transaction $100 - $1000/transaction $1000+/transaction     Business Name:     Type of products sold or services provided:     Contact Name:     Contact Phone Number:     Contact Email Address:       Additional Questions or Comments which may help us to respond to your request:

* All merchants must submit a formal application in order to obtain a merchant account.

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