Free Merchant Account Enrollment

Thank you for choosing 1st American Card Service for your enrollment for a Merchant Account to accept credit cards from your customers. You are just 4 simple steps away from emrollment. Once submited, we will immediately begin to process it. Please complete as much information as possible, important fields are marked as - Required Information.

If you have a question about this application that requires an Instant response, please call 800 438 8262 Or please click here to request us to call you.

By Federal Law information will be kept strictly confidential. Information will be held securely. No information is held on an Internet accessible computer. Press here to view our certified privacy policy

Merchant Account Rate

Interchange Plus Merchant Account

Visa or MasterCard Interchange

2.19%

Monthly Statement Fee

$8.00

Monthly Minimum Fee

$0

Processing Options

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1) Business Info

Primary Business Type:

Required Information Email Address:

Legal Business Name:

Required Information Doing Business As (DBA):

Required Information Address & Suite:
(not a PO Box or mail drop - Banking requirement)

Required Information City:

Required Information State, Zip:

Required Information Business Phone:

Direct Phone:

Fax:

Twitter, AIM:

Date Business Opened:

Please complete as much information as possible, important fields are marked as - Required Information

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2) Products Sold

Required Information List The Products Or Services Sold:

Required Information Estimated Total Monthly Credit Card Volume:

Required Information Estimated Average Charge Per Credit Card:

Please complete as much information as possible, important fields are marked as - Required Information

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3) Sales Method

Internet website URL:
(If Web Sales Will Take Place)

Required Information Percentage Of Sales Via Internet:

%

Required Information Percentage Of Sales Via Mail Order:

%

Required Information Percentage Of Sales Via Retail:

%

= Must Total To 100%

Please complete as much information as possible, important fields are marked as - Required Information

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4) Ownership Info

Required Information Owner Name #1:

Required Information Home Address:

Required Information City, State & Zip:

Home Phone:

Date Of Birth:

% Of Business Ownership:

Please complete as much information as possible, important fields are marked as - Required Information

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Misc. Info

We Will Beat ANY Price By 10%. Enter In The Website URL or Company Name And Phone Number:

If you Currently Accept Credit Cards, What Is The Name Of The Company You Use And Phone Number:
 (we will not contact them)

Comments:

Promotional Code:

Paperwork Delivery Options

To finalize this enrollment we need to send it to you for your signature. How you like it delivered?:

Fast

By Courier To Mailing Address Above.

Faster

By Fax
Fax Number:

Fastest

 By Email PDF

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