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No Business is Too Big, Too Small, Too New or Too Old! 98% Approval Rate! Low Fees, Fast Approval, Easy Setup! Apply NOW! .

By filling out this form you will not enter in to any agreements or contracts!.

For a limited time only - if you apply before (Midnight, ) We'll give you a FREE Merchant Account with each Fast Charge gateway set up.
  
 
Features of the Fast Charge payment Gateway?
 
         
  Free Online Virtual Credit Card Processing Terminal Free Instant Credit Card Verification
  Free Online Check Processing Set Up Free Real-Time Online Reporting
  Free Recurring Billing - Monthly, Quarterly etc.. Free Email Domain Validation
  Free Basic Shopping Cart Free Large Transaction Notification
  Free Fraud Scrubbing Free Negative Credit Card Database for Fraud Detection
  Free Sub ID's and Unlimited Users Free High Risk Country and IP Address Blocking
  Free Address Verification Service (AVS) Free Daily Batching
  Free Order Email Receipt to Customer and Merchant Free Daily Batching
  Free SSL Secured Order Pages Free Duplicate Transaction Prevention
  Free No Equipment or Software Needed Free Brute Force Attack Protection
         
 
 OWNERSHIP INFORMATION
Owner 1 Name
Percent Owned
Owner 2 Name
(Leave Blank If Sole Owner)
Percent Owned
Contact Name
Email Address
Best Phone Number To Reach
Legal Business Name
Doing Business As (DBA)
Business Street Address
City
State
Not a US based business?
Click Here for our Premier International Payment Program
Business Zip Code
Business Country
Business Phone Number
FAX Number
Date The Business Opened
(Month/Day/Year)
 
 About Your Business and Products Sold
Product, Service or Merchandise Sold
Type of Business?
(Corporation, Partnership, Sole Ownership, etc.)
% Internet Orders
% Mail/Phone Order
% Face To Face (Swiped)
Estimated Average Credit Card Sale
Estimated Credit Card Monthly Volume
WWW Site Address
Have You Ever Accepted Credit Cards?
If Yes, Do You Currently Accept Credit Cards?
Which particular search engine brought you here and what search term did you use to find us? Example: Google.com - searching for merchant accounts. Or Which Magazine, Post Card, Friend or Other Advertisement Etc.
How Did You Hear About Us?
(* Note: This has to be filled in for the form to work.)
What Kind Of Equipment Or Online System Do You Want To Process Your Credit Card Orders (Note: Banks Now Require Transactions To Be Conducted Electronically-Paper processing Is No Longer Available)
Equipment Needs
 
 Business Owner Personal Information
Home Address
City
State
Not a US based business?
Click Here for our Premier International Payment Program
Zip Code
Home Phone Number
Rent or Own?
What is your credit rating?
Feel free to tell us what you thought about our site. If you have any additional comments or questions please enter them here. We really appreciate the time you took and the feedback we get. We'd also like to know how you liked our site?
 
 
 
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