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PROCESSING PRE-APPLICATION

 
Business Name*
Contact Name*
Company Address
City*
State*
Zip Code*
Phone Number*
Email*
Description of Product Sold*
Type of account:
Retail face to face / E-commerce /Mobile /
MOTO (Mail or Telephone order)*
Internet Website*
Do you already accept Credit Cards*
Current or Projected monthly bankcard $ volume*
Current or Projected AVERAGE ticket/sale amount*
 
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A Merchant Direct representative will call or e-mail you shortly after we receive this form. The more information provided the better we can address your needs. You can also reach us toll-free @ 1-800-337-0082.

Please, United States-based organizations ONLY!