Credit Card Processing Source - Merchant Account Customer Support

Don't lose another sale because you don't accept credit cards. Merchants who don't accept credit cards from their customers are losing sales! Both card present/Retail merchant as well as Internet/MOTO businesses will benefit greatly by accepting credit cards. Online and mail order businesses that don't offer online shoppers a credit card processing option lose over 80% of their impulse sales. Accepting credit cards with a merchant account will give your customers the confidence to purchase without hesitation.

Apply Now for Credit Card Processing Services with a Merchant Account and Accept Credit Cards Today

Credit Card Processing Source has created an automated online merchant account application process that will make the ease of applying for a credit card processing simpler than ever. You can complete the "Quick App" below to receive a no-cost quote OR you can complete the full application to apply for your account now. Upon completion of either the "Quick App" or the complete merchant account application, an Credit Card Processing Source representative will contact you to walk you through the merchant account activation process. Please fill out this form as completely as possible. Please make sure that all names and addresses are spelled correctly. This is exactly how they will appear on your merchant account file.

Credit Card Processing Source's Credit Card Processing and Merchant Accounts Application is simple and fast.

Please be aware that all information submitted will be kept strictly confidential. Credit Card Processing Source Financial Services will not share any of your contact information with anyone under any circumstances.

Merchant Account & Credit Card Processing Benefits:

Lowest Rates
Technical Support
Accept ALL Credit Cards
No Set-Up Fee
No Application Fee
Same Day Approval
Professional Staffing
Purchase Or Lease Payment
Processing Equipment

Merchant Account Business Clients:

Small Business
Online Business
Mail Order
Phone Order
Trade Show
Home - Based
Mobile

If you need additional information contact Credit Card Processing Source using the form bellow:

Company Information

Owner's Name:

Mr.

Ms.

Dr.

First:

Middle Initial:

Last:

Type of Ownership:

	Sole Proprietor
	Partnership
	Corporation

Date of Birth (MM/DD/YY):
/ /

Contact Name, If Different:

Legal Name of Business:

Doing Business as (DBA), If Applicable:

Company Address
Location of Business
(No P.O. Boxes. If Home-Based, Enter Home Address):

Suite or Apartment # If Applicable

City:

State:

ZIP:

Country:

If home address is the same as business address, click this box

Home Address:

Suite or Apartment # If Applicable

City:

State:

ZIP:

Country:

Home Phone Number:
( ) -

Business Phone Number:
( ) -

Best Phone Number To Reach Applicant:
( ) -

Fax Number:
( ) -

Your Email Address:

Your World Wide Web Address (If Applicable):

Credit Card Sales Information
Please enter approximate credit card sales. If you are not sure, please enter your best estimates. Total sales should equal 100%.

Percent Combined Phone and Mail Orders:
%

Percent Internet Orders:
%

Percent Retail (Credit Card is Present and Swiped) Sales:
%

Product or Service Sold:

Estimated Amount of Average Credit Card Sale:
$

Estimated Monthly Credit Card Volume:
$

Do You Currently Accept Visa, MasterCard, or American Express?

	Yes
	No

Credit Card Processing Equipment

Which Credit Card Processing System Do You Want to Use?

Real-Time Processing with Virtual Terminal (Payment Processing for Companies with a Web Site)

PC Software (Manual Credit Card Processing for Companies with no Web Site)

Macintosh Software (Manual Payment Processing for Companies with no Web Site)

Terminal without Printer with Manual Imprinter (Face-to-face Sales)

Terminal with Printer ($5.00 per month extra for lease, or $100 extra for purchase)

Do You Wish to Purchase or Lease the Payment Processing System?

	Buy
	Lease

Where did you hear about Aliant Financial Services?

Please Feel Free to Send Us Any Comments You May Have.

** By Federal Law, All Information
Provided Will Remain Confidential **

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