Online Credit Card Processing

   
   
Sales and Tech Support 800-838-9699  

Business Information

 Enter your group, organization, non-profit, individual business, or partnership information below.
Company
Business/Corporate Name: Learn More
DBA (Doing Business As) Name:
(enter "SAME" if the DBA matches
the Business/Corporate Name)
Learn More
 
Address Line 1: Learn More
Address Line 2 (optional):
City:
State:
Zip:  
Main Business Telephone Number:
(10 digits with dashes ex 800-555-1234)
Mailing Address
Same as Business Address
Business Information
Person we should contact for this Merchant Account:
Alternate Telephone Number to reach the Contact Person:
Best email address to reach this person of contact: Learn More
Legal Organization: Learn More
Federal Tax ID # (no dashes):
(OR your Social Security # will suffice if you are a sole proprietorship)
Learn More
Re-Enter Federal Tax ID # OR SS #:
Business Website: Learn More
Business Open Date(MM/DD/YYYY):
Detailed Description of Products/Services Sold:
Learn More
Please choose the option that best describes your return policy:



Other:  
Have you ever accepted credit cards for this exact business (answer NO if you have accepted credit cards for a retail store but are now opening an online store)  
 
Fulfillment House / Drop-Ship Information:
A Fulfillment House or Drop-Shipper is a company, other than your own, that ships products to your customers on your behalf
     If you do not use a Fulfillment House or Drop-Shipper, leave these 2 fields blank
Name of Primary Fulfillment House:
% of your products that ship from this fulfillment house: %  
 
Primary Sales Method Learn More
Payment Software Information
If you are using an ecommerce cart or if you are processing transactions through another software product, please enter the following (if you are unsure of any fields, please leave blank):
Name of Software:
What % of your customers are: (must equal 100%)
Businesses: %  
Consumers: %  
Total:
Must equal 100%
 
What % of your customers live outside of the United States:
  %
Business Sales Information (dollar amounts)
Annual Visa/MasterCard/Discover Sales $ .00 Learn More    
If you have prior processing, please use the data from your past merchant statements to populate this value. If you are a new business or business channel, please make your best estimates. Certain volume requirements may need more information.
Average Visa/MasterCard/Discover Transaction
Amount:
$ .00
Learn More
Average tickets exceeding $350 may require additional information.
Occasional High Visa/MasterCard/Discover
Transaction Amount:
$ .00
Learn More
 
American Express
Do you have a current American Express Merchant Account:  
Business Banking Information  
Sample Check (Click to expand):
Bank Account Type
Bank Routing Number:(must be 9 digits)
Re-Enter Bank Routing Number:  
Bank Account Number:
Re-Enter Bank Account Number:  
If you are unsure of the banking information that you are going to use for your business deposits, please leave this information blank.
Additional Merchant Account Information  
Date in which you would like to start accepting credit cards through this merchant account:
Best time of day to contact you (check all that apply):



Additional Information, Comments or Instructions regarding this merchant account:

 

Sales and Tech Support (800) 838-9699
3D Merchant Accounts, a registered ISO/MSP in association with
First National Bank of Omaha, Omaha, Nebraska.