Online Credit Card Processing

    
   
Sales and Tech Support 800-838-9699  

Online Application

Business Information
Owner Information
Print Documents

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:  
Mailing Address
Same as Business Address
Business Information
Person we should contact for this Merchant Account:
Main Business Telephone Number:
(10 digits with dashes ex 800-555-1234)
Fax Number:
(10 digits with dashes ex 800-555-1234)
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)  
 
Are you using a Fulfillment House to deliver products to your customers? Learn More
Within your own facilities, where do you store your products (only applicable if you ship products to your customers)?:
 
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:
Publisher of Software:
Version of Software:
What % of your customers are: (must equal 100%)
Businesses: %  
Consumers: %  
Total:
Must equal 100% 		 
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  
Other Card Types
Do you have a current Discover Merchant Account:  
Do you have a current American Express Merchant Account:  
Business Banking Information  
Sample Check (Click to expand):
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.

*OFFICERS AND OWNERS WARRANT THE AVERAGE TICKET SIZE AND SALES VOLUME INDICATED ARE ACCURATE AND ACKNOWLEDGE THAT VARIANCES CAN RESULT IN INCREASED FEES AND DELAYED AND/OR WITHHELD SETTLEMENT OF FUNDS

 

in Customer Service!
Talk to a live person call 1-800-838-9699
Monday – Friday 8:00 am – 5:00 pm CT
Sales and Tech Support (800) 838-9699
3D Merchant Accounts, a registered ISO/MSP in association with
First National Bank of Omaha, Omaha, Nebraska.
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