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Bank Acquirer Solutions Application Form

Please enter the code shown above:
1.	Contact Name:
2.	Title/Position:
3.	E-Mail Address:
4.	Telephone Number:
5.	Name and address of your financial institution:
6.	Website Address:
7.	Do you have Principal or Associate Membership with VISA and MasterCard?
8.	Do you currently issue credit or debit cards to your customers?
9.	Do you currently offer your merchants Internet accounts/services?
10.	Which FAC services are you interested in?

To find out more, please contact us. Or simply apply online.