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MERCHANT APPLICATION
Merchant Name
Number of years in business:
< 1
1-3 years
3-5 years
> 5 years
Primary Business Location
What is the product or service being sold?
Transaction Types Required:
Retail
E-commerce
Mail/Telephone Orders
Recurring Billing
Anticipated Monthly Transaction Volume
Current Processor & Average Chargeback Ratio
Submit Request
Thank you! We'll get back with you soon.
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