Complete the following information and submit it for fast, free Merchant Account approval. We will notify you of your approval within 24 hours and confirm any remaining details.
Merchant Information
Contact Name:
Company Title:
Company Name:
Address:
City, State, Zip:
Business Phone Number:
Best Time to Call / Phone Number:
FAX:
E-Mail:
Credit Card System Most Interested In
:
What Product or Service Do You Sell:
How Do You Market Your Product/Service:
Internet
Mail order
Phone
Retail
Trade Shows
Preferred Method to Process Ccards:
Internet
Software
Phone Verification
Retail Swipe Terminal
Business Location:
Office
Home
Retail Store
Business Type:
Sole Proprietor
Corporation
Partnership
Non-Profit
Estimated Avg. Credit Card Sale Price:
Estimated Monthly Credit Card Sales:
Principal / Owner Name:
Percent Ownership:
Principal / Owner Credit:
Excellent
Good
Average
Poor
Fed. Tax I.D.# or S.S. #:
How to reach us:
We will respond to your Credit Card Merchant Account inquiry within 1 business day if you e-mail or fax us. If you wish to speak to a representative regarding a Credit Card Merchant Account right away, please email us at address listed below.
0-Activation
3535 Pacific Coast Hwy., Suite 109
-
Corona del Mar, CA 92625
salesinfo@0activation.com
Copyright (c) 1997-1998 0activation Credit Card Merchant Services, All Rights Reserved. All other Trademarks or Service Names are registered trademarks or service marks of their respective owners.