New Merchant Account Pre-Application

Begin Accepting Credit Cards Today Sign up today!  Applying for a Card Systems merchant account is easy. We boast one of the highest approval rates in the industry, and accounts are generally approved in 24 hours. Complete our pre-application and a Card Systems representative will contact you within 24 hours.

If there is any information that you do not have available or any question you do not understand, just leave the section blank, a representative will help you obtain the missing information when they process your application.  Please note that this is a preliminary application and that a hard copy of the merchant agreement and application (MPA) must be signed.

Owners Name:
Contact Name:
Business Name:
Business Phone:
Fax Number:
Business Address:
City, State, ZIP Code:	, ,
Country:
E-Mail Address:
Is your business Product or Service order based?	Product Service
Product or Service Description:
Average Ticket ($) Amount:
Type of Ownership:	Sole Proprietor Partnership Corporation
Web Site (URL) if any:
Do you already have a Merchant Account?	Yes No
Self-Rate Your Credit:	Fair Excellent Poor
Have you ever filed for Bankruptcy?	Yes No
If yes, what year?
Best time to contact you:
Referred by:
Enter the numbers shown below for verification:

Any additional comments?:

Your IP Address is recorded as: 38.103.63.61

Note: An investigation of the applicant's credit history may be made in the process of approving this application. By pressing "Submit Application", the applicant authorizes Card Systems Inc.  to contact various credit reporting and credit bureau agencies for the purpose of investigating the applicant's credit history for the sole purpose of determining the approval of the applicant for merchant status or equipment leasing. This information is strictly confidential and will not be released under any circumstances.

American Express and Discover card require separate approval processes. If you are interested in accepting these cards please inquire when you are contacted by account representative.  The application fee cannot be waived if you already own equipment or software that you will use with this account.