"National Merchant Services helped make my transition to an e-commerce business seamless and easy."
E. Wagoner, CA

Troy at Ape Wraps was right... Your service is great!
C. Stickney, Truck Xessories





Merchant Account Pre-Application
Please fill out the following short application to the best of your knowledge. A merchant account representative will contact you within the next 24 business hours to review the best possible merchant account fit for your business. The application process is free and there is no cost or obligation.

No information that you supply will be shared or sold to any other party.

Business Information
Business Name:  
Business Address:
City, State, Zip Code:
Business Phone:
Business Fax:
Web Site Address:
Please describe the products or services sold:
Is this a US based business? Yes No
Does the owner/authorized signer have a US social security #? Yes No
Do you currently process credit cards? Yes No
What is your average sale in USD?
What is your expected monthly credit card sales volume (In USD)?
How are the orders processed? (must equal 100%)

Card swiped (retail)   %

Mail/Telephone order (keyed in)   %

Ecommerce   %
Contact Info
Contact Name:
E-mail Address:
Phone Number:
Best time to reach you:
What is your time zone?
Merchant Account Solutions
Which processing solution(s) are you interested in?

Ecommerce/virtual terminal
PC based processing (via pc charge)
POS (Point of Sale Terminal)
Other/Please reprogram my equipment (please specify)
      
I am not familiar with all of the options, please call me to discuss
Notes or Additional Comments:

 
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National Merchant Services, Inc. in association with FNBO, NA. :::: Copyright 2005 - All Rights Reserved, National Merchant Services