Merchant Accounts and Credit Card Processing Solutions - Quick Application*
Does your business currently
accept credit cards?
Yes No
 
Are you currently in need of
credit card processing equipment?
Yes No Not Sure
 
How much do you currently
accept, or anticipate accepting,
in monthly charges?
 
What do you anticipate to be
your average individual charge amount?
 
What is your most likely method
for accepting credit cards?
 

Business Name
 
Type of Services/Product
 
State
 
Zip Code
 
Contact Name
 
Contact Phone
 
Contact Email
 
Comments
 
 
 
 
*All merchants must submit a formal application to obtain a merchant account
**American Express may require separate approval