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Free Merchant Account Set Up !
Accept Credit Cards Today With Electronic Transfer, Inc.

No Business is Too Big, Too Small, Too New or Too Old! 98% Approval Rate! Low Fees, Fast Approval, Easy Setup! Apply NOW!

Merchant Account Application

If you apply before (Midnight, ) We'll give you a FREE Merchant Account with each Fast Charge gateway set up.

By filling out this form you will not enter in to any agreements or contracts!

Please fill out this form as completely as possible. If there is any information that you do not have available or any question you do not understand, simply leave that section blank, and our staff will help you to obtain the missing information when we process your application. We're here to make sure that your application process is pleasant.

Your business must be located in the USA and you must have a physical street address. Home addresses qualify as the physical street address if home based business! Some restrictions may apply and approval is not guaranteed.

* This form is for US based businesses only. If you have a Non-U.S. based business please check out our international program here: Non US Merchants

 

OWNERSHIP INFORMATION

Owner 1 Name

Percent Owned

Owner 2 Name
(Leave Blank If Sole Owner)

Percent Owned

Contact Name

Email Address

Best Phone Number To Reach

Legal Business Name

Doing Business As (DBA)

Business Street Address

City

State

Not a US based business?
Click Here for our Premier International Payment Program

Business Zip Code

Business Country

Business Phone Number

FAX Number

Date The Business Opened (Month/Day/Year)

About Your Business and Products Sold

Product, Service or Merchandise Sold

Type of Business? (Corporation,  Partnership, Sole Ownership, etc.)

% Internet Orders

% Mail/Phone Order

% Face To Face (Swiped)

Estimated Average
Credit Card Sale

Estimated Credit Card
Monthly Volume

WWW Site Address

Have You Ever Accepted Credit Cards?

If Yes, Do You Currently Accept Credit Cards?

Which particular search  engine brought you here and what search term did  you use to find us? Example: Google.com -  searching for merchant accounts. Or Which Magazine, Post Card, Friend or Other Advertisement Etc.

How Did You Hear About Us? (* Note: This has to be filled in for the form to work.)

What Kind Of Equipment Or Online System Do You Want To Process Your Credit Card Orders  (Note: Banks Now Require Transactions To Be Conducted Electronically-Paper processing Is No Longer Available)

Equipment Needs

Business Owner Personal Information

Home Address

City

State

Not a US based business?
Click Here for our Premier International Payment Program

Zip Code

Home Phone Number

Rent or Own?

What is your credit rating?

Feel free to tell us what you  thought about our site. If you have any additional  comments or questions please enter them here. We really appreciate the time you took and the feedback we get. We'd also like to know how you liked our site?

 



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