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Merchant Account Application

Start accepting payments today!

If you have an Internet store or own a retail website, you need online credit card processing. MY MERCHANT SOURCE can provide you with an online merchant account and the ability to do online credit card processing, no matter how small or how large of a website you have.   With the help of an online merchant account and credit card payment gateway, you can give your customers the option to purchase goods with the click of the mouse, at any time, day or night.

You will find useful information below on various online credit card processing solutions that will help you to start credit card processing online.

As always, if you have further questions feel free to contact us at 866-757-1524.

Step One - Account Information     Required form fields are marked with ( * )
What type of account are you applying for?
Free Internet Offer Yes No
Free Hardware Offer Yes No
Wireless Terminal Offer Yes No
Step Two - Merchant Information
Do you wish to apply for Discover? Yes No
Do you wish to apply for American Express? Yes No
* DBA (Doing Business As) Name
* Best Contact Phone Number
* Legal Name of Business
* Company Contact First Name
* Company Contact Last Name
* Title or Relationship
* E-mail Address
Merchant Website URL
* Business Phone (e.g., 1112223333)
Business Fax
* Business Address
* Business City
 Business State
* Business Zip Code
Step Two - Owner Information
* Principal's First Name
* Principal's Last Name
* Date of Birth  (e.g., 01/01/1965) / /
* Home Phone  (e.g., 1112223333)
* Ownership %
* Home Address
* Home City
* Home State/Country
* Home Zip Code
Step Three - Business Information
* Describe Products Sold
(e.g., I sell toys)
* Business Ownership Type
* Home Business?
Yes No
Average Monthly Volume
$
* Average Sale/Ticket Amount
$
* Business Type
Years or Months in Business
Please, If You Remember, Where Did You Hear About Us?
Please Feel Free to Send Us Any Comments You May Have.
 

 

 
 
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