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Merchant Application Form
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Merchant Information Request Form

Please fill out the form below, or email us directly for more information.

Please note that we do NOT process for start-up companies. Merchants must have at least 6 months of transaction history. However, we can provide fraud and data management services and geolocation solutions to most online companies.

Note: All fields are required to submit form
1. Business Name:
2. Business Location:
3. Website Address:
4. Contact Person:
5. Job Title:
6. Phone Number:
7. E-Mail Address:
8. Gross annual credit card sales (state currency):
9. Average transaction amount:
10. What is your current chargeback percentage?

11. What currencies do you require?
12. Which credit cards do you plan to accept?


13.

How long have you been processing online? (We do not process for start-up companies)




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