Request Merchant Account Information

Or...
Currently Accepting Credit Cards and
Want a Lower Rate?


For Quick Information and Price Quotes please fill out this short form.

Please Note: If you are currently accepting credit cards and want to get a lower rate, you will need to send us a copy of your most recent merchant account monthly statement by fax or email.

To send us your current merchant account statement please... Scan your statement (preferred method) and email the statement to chuck[at]creditcardEmerchant.com. Also, fill out the form below and let us know a separate email, with a scanned statement, is on the way.

(If you are not able to scan your statement, please request our fax number in the "comments" section of the form below)



Company Name & Address:


Name:


Email:


Phone:

* Forms without Phone Numbers cannot be processed.


Website URL:


Product or Service provided:


How Are Orders Accepted?
Internet Phone Face to Face (Swiped) Other


Comments:


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