• • Our Company
  • Our Philosophy
  • Corporate Philanthropy
  • News
• • Industries
  • Retail
  • Restaurant
  • Lodging & Hospitality
  • Health Services
  • Non Profit Organizations
  • Veterinary Services
  • Property Management
  • Automotive
  • Partnerships
  • Membership Associations
  • Financial Institutions
  • POS / Web Developers
  • Referral Program
  • Merchant Accounts
  • Face-to-Face Retail
  • Internet
  • Mail Order / Telephone Order
  • Wireless
• • Business Growth Products
  • Gift Cards
  • Loyalty Programs
  • Virtual Terminals
  • Websites
  • Recurring Billing
  • Essential Services
  • Credit Card Processing
  • POS Solutions
  • Wireless Terminals
  • Processing Systems
  • Merchant Club
  • Online Reporting
  • Check Management
  • EBT
  • Debit Card Networks
  • Health Savings Accounts
• • Chargeback and Fraud Prevention
  • PCI Data Security Standards
  • Data Protection Program
  • PCI DSS Frequently Asked Questions
  • Tax ID Validation
  • Merchant Training Center
  • Merchant Club

Business Name:

Street Address:

City:

State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

Zip:

Industry/Business Type: Retail Restaurant Automotive Lodging and Hospitality Health Services Property Management Non Profit Other

Contact Name:

Phone:

Email Address:

Monthly Processing Volume: Under $5,000 $5,000 - $10,000 $10,001 - $25,000 $25,001 - $50,000 $50,001 - $100,000 Over $100,000

Most Likely Method for swiping cards: Manually Swipe Website or Online Business Phone or Mail Other

Who is Your Current Processor?

Comments:

Security Code:

[ Different Image ]

All fields are required.

Please note that this is a preliminary application form and does not guarantee approval. Pre-approval subject to business type restriction and credit approval. A hard copy of the Merchant Processing Agreement and Application may be required.

Merchant Services values your privacy and we will not sell any contact information. To learn more about our Privacy Policy Click Here.