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
Zip Code
Contact Name
Contact Phone
Contact Email
*All merchants must submit a formal application to obtain a merchant account
**American Express may require separate approval