Start Accepting Credit Card Payments From Your Clients & Customers

Online Merchant Account Application Form: Apply Now To Accept Credit Card Payments!
Bart Smith, TheMarketingMan © 2012 by Bart Smith, TheMarketingMan.com & Founder of MyMarketingCart.com, MyTrainingCenter.com, ReallyCheapNames.com & MyPaymentServices.com

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Online Merchant Account Application Form (MUST HAVE A USA-BANK ACCOUNT)

Fill in the following online Merchant Account application form with your contact information and a description of the products and/or services you wish to sell, if you would like to start accepting credit card payments online through your own web site, over the telephone or live in-person!

Shortly after submitting your online pre-application, one of my merchant account representatives will contact you via telephone with other information regarding your merchant account. It's that easy! In advance, thank you for choosing MyPaymentServices.com.


*REQUIRED FIELDS

Your Full Name REQUIRED

Your Business Name (D.B.A.) REQUIRED

Your Primary eMail Address REQUIRED

Web Site Address / URL

Business Mailing Address REQUIRED

City / State / Zip / Country REQUIRED

Telephone Number REQUIRED

Fax Number

Best Time To Call REQUIRED

Time Zone *

Please let us know the types of products and/or services you sell. Thank you. *

How did you hear about MyPaymentServices.com? *

Lastly, feel free to send us any related comments you might have.

Check this box to certify you have a USA-based bank account to qualify for a merchant account with us.*
 I certify I have a USA-based bank account for my new merchant account.

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