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If you would like to have a free Merchant statement review,

Please Open the form below and submit your Merchant Statement to be reviewed, and we will have pricing back to you the next few days.

Working direct with the Wholesale Channel for payment processing.

Merchant Services Application

Merchant Legal Business Name

First Name

Last Name

Federal Tax ID Number (TIN)

First Name

Last Name

Original State Date

MM

DD

YYYY

Doing Business As

First Name

Last Name

Business Address

Street, City, State, Zip Code

First Name

Last Name

Business Email

Personal Name

First Name

Last Name

Personal Address

First Name

Last Name

Phone Number

SSN

Message

Date

MM

DD

YYYY

Business Phone Number

First Name

Last Name

Percentage of Cards

Swiped, keyed, Internet, mail order

First Name

Last Name

upload files.

How’s your Rate?

Lets Compare.

If you would like to have a free Merchant statement review,

Please Open the form below and submit your Merchant Statement to be reviewed, and we will have pricing back to you the next few days.

Working direct with the Wholesale Channel for payment processing.

Adding Value on every level.

Specialized Fiduciary Services - Taking Relationships further.

NMLS ID#678483 | MLS ID#67505