Merchant Discount Rate
1-805-906-0150
Home
Merchant Services
Electronic Cigarette Merchant Account
High Risk Merchant Account
Vapor Credit Card Processing
Merchant Account Services
>
Credit Card Processing Terminals
E-Commerce Merchant Account
Existing Merchant Accounts
High Volume Merchant Account
New Merchant Accounts
IPAD POS SYSTEM
Ecommerce Integration
Shopify Shopping Cart
MDR Vs. Competition
Pay Pal Alternative
About Us
Blog
Agent Referral Program
Credit Card Processing Rates
MERCHANT ACCOUNT APPLICATION
*
Indicates required field
Company Name
*
Name
*
First
Last
Business Address
*
Line 1
Line 2
City
State
Zip Code
Country
Country of Incorporation
*
Phone Number
*
Email
*
BUSINESS INFORMATION
Type of Business
*
E-Cigarette Merchant
Online Pharmacy
Gambling Site
Offshore Merchant
High Risk Merchant
Medical Marjuana Merchant
Please explain your business in detail
*
PROCESSING DETAILS
How long in business
*
0 - New Company
1 - 3 Years
3 - 5 Years
5 - 10 Years
Over 10 Years
Select how many years you have been in business
How much do you process monthly in USD / American Dollars
*
0 - $5000
$5001 - $10,000
$10,001 - $50,000
Over $50,000
Please enter your monthly average processing amount in USD
*
Average sale size in USD
*
Monthly % of Chargebacks
*
Do you require ACH | Echeck Processing Services
*
Select
Yes
No
Have you ever had a merchant account
*
Select
Yes, and still active
Yes, and not active
No, I only use 3rd Party Processing
No, I have never had such a service
Do you require a shopping cart?
*
Select
Yes
No
Are you going to require recurring billing (subscription service)?
*
Select
Yes
No
Please explain any additional requests or requirement you will need for your online merchant account or membership services
*
APPLY NOW
Not ready to fill out an application but want some additional information.
*
Indicates required field
Company Name
*
Name
*
First
Last
Phone Number
*
Email
*
Comment
*
Submit