Credit Card Payments - Credit Card Payment Processing Solutions - Accept Credit Cards Payments on Internet

Credit Card Payment Provider - Credit Card Payment Solutions - Credit Card Payment Processing
Supports all major credit cards and debit cards w/ the major acquiring banks for Visa, Mastercard, JCB, AMEX & Diners
Credit Card Payments - Credit Card Payment Solutions - Services Overview - Set Up Process - Rates - Merchant Compendium


Reminder: Please fill out this form if you are currenctly seeking a merchant account. Please provide maximum details.

Personal Information
Mr. Ms. Mrs.
Full Name: (*)
E-mail address: (*)

Alternative Email address:

Company Designation:
Phone No.: (*)
Correspondence Address:
Yahoo Messenger ID :
MSN Messenger ID :
How do you know us?:

Company Information
Legal/Corporate Name:: (*)
Year Established: (*)
Company e-mail address: (*)

Alternative Email address:

Phone Nos. :
Fax No.: (*)
Business Complete Address:
Does your company has an existing
EU company registration?:
If no, are you willing to have an EU company?:

Business Model
Merchant Website (to be used in credit card acceptance) :
Website Industry :
Please describe your business model :
Does your company presently or in the past, accept credit card for processing? :
if yes please fill up the processing history

What is your Expected Monthly Volume Amount:
if no,
Expected Monthly Transaction :

Payment Processing History and Information / Payment and Risk Management
Transaction Currencies :
Monthly Volume Amount :
Monthly Transaction Amount :
Former Processor :
Reasons for leaving :
Other payment methods used? :

Security test. Please identify the pictures:

Notice: This form will assist your merchant services representative in setting up your merchant account.
Please fill out this form completely and click the submit button.

Processing usually takes a few seconds but could last several minutes depending on your connection speed and network condition.
Please DO NOT click the "Submit" button more than once. - Credit Card Payment Processing Solutions