Credit Card Processing and Merchant Account Information

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Merchant Account Request

Does your business currently accept credit cards?     Yes   No   Are you currently in need of credit card processing equipment or software?     Yes   No   Not Sure   What is/are your most likely method(s) for accepting credit cards?     Manually swiped cards at any retail store or restaurant Through a website or online business By phone or through mail order Manually swiped cards at a mobile business or trade show Other, Please describe:        How much do you currently accept, or do you anticipate accepting, in monthly charges?     Under $5,000/month $5,000 - $10,000/month $10,000 - $20,000/month $20,000 - $40,000/month $40,000 - $100,000/month Over $100,000/month   What is, or do you anticipate, the average individual charge amount to be?     $1 - $50/transaction $50 - $100/transaction $100 - $1000/transaction $1000+/transaction     Business Name:     Type of products sold or services provided:     Contact Name:     Contact Phone Number:     Contact Email Address:       Additional Questions or Comments which may help us to respond to your request:

* All merchants must submit a formal application in order to obtain a merchant account.

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