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Apply now, cost-free, by filling out the form below. All the information will be kept strictly confidential and will only be shared with our acquiring bank for merchant account approval. If you have any questions, feel free to call us at (800) 719-9198.

Business Name (required)

Business Contact (required)

Primary Phone (required)

Your Email (required)

State/Providence (required)

Zip Code

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Products and Services: (briefly describe the products and/or services your company sells) (required):

Do you currently accept Credit Cards?

Monthly Charge Estimate

Average Charge Amount

Do you need Processing Equipment?

Please answer the following equation:
7 + 1 =

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