Merchant Account Application

PayQuickly Verifone Omni 3200 SE

The Expert in Credit Card, Check & ATM Processing

No Application Fee * No Set Up Fee * 99% Approval * Quick Set Up * Free Credit Card Equipment* 30-Second Application

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Please Fill Out Our 30-Second No Obligation Quote Form

Free Application

Use our Merchant Account Application Form bellow to apply for a merchant account and take the first step to start accepting credit cards at your business. Our Merchant Account Application is good for traditional businesses as well as e-commerce businesses and International Merchants. On the next business day, one of our agents will contact you for any additional details they may need to complete your merchant account application. Our application will just take a few minutes to complete.

Your information is confidential, and you are under no obligation. Your information will be used solely for the purpose of evaluating your business for a Merchant Account so that you may begin accepting credit cards from your customers.

Name (First & Last)

Business Name

(Federal Tax ID Number) EIN (If any)

Business Address

City/State/Zip Code

Website Address

How many years in business

Type of business

e-mail (needed to get back to you)

Telephone (needed to get back to you)

Fax (needed to get back to you)

Name of primary owner

Home address

State/City/Zip Code

Date of Birth

Country

What type of Products Services do you offer?

Does your business sell adult goods or services (including escort agencies and sex chat-lines)?
No
Yes

Are you a telemarketing company who sell through outbound/inbound calls?
No
Yes

Does your business sell gambling services (including lotteries, raffles and competitions)?
No
Yes

Does your business sell any products or services related to travel, tourism, tours, timeshares, or hotel room bookings?
No
Yes

Monthly processing needed?

What is your average sale?

Do you currently process credit card?
No
Yes

Have you ever processed credit card before?
No
Yes

How will you process credit cards?

Do you currently own any equipment, software, payment gateway to process credit cards?
No
Yes

How were you referred to Payquickly? Please specify which search Engine, yellow pages, direct mail etc. It helps us keep track of our advertising. Thank you.

Additional Comments

Merchant account provided by, i Payment, Inc. a registered ISO/MSP of JP Morgan Chase Bank