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 Please complete the FREE application below.
Or call,  Chuck Taylor  @  800-948-6457   9 - 5 pm Central Ext. 18

IMPORTANT:  To be approved to accept Visa, MasterCard, Amex, Diners & Discover.
1. You must have a valid Social Security or Federal Tax ID Number and be at least 18 years of age.
2. You must have a business checking account with a U.S. Bank or Credit Union.

Express(24hrs.) Pre-App.

Referred By:
Your Busn. Name:
Address:
City, State, Zip:
Phone Number: 
Cellular Number: 
Fax Number:
Contact Information
First Name:
Last Name:
Home Address:
City, State, Zip:
Email Address:
Home Phone:
Best Time To Reach:
Percent Equity Ownership:
How would you rate your credit ?
Other Optional Questions
Start up is planned in.
Will your product be downloaded ? Yes  No
Are there any additional services you would like information on? Gift Card Program
Web Site Hosting
Shopping Cart For Your Website
Design & Web Development
Federal EIN Number

Description of Business:

Note:  By pressing Submit or Faxing, the applicant authorizes an investigation of the applicant's credit history with various credit reporting and credit bureau agencies for the sole purpose of determining the approval of the applicant for merchant status or equipment leasing.   This information is kept strictly confidential and will not be released. American Express, Diners and Discover card require separate approval processes. There is no extra  charge for the American Express application.
  Merchant Account Chuck Taylor
eCommerce Solutions
Retail & Contractor Merchant Accounts
Bank & Credit Union
Merchant Accounts

450 N. Sam Houston Parkway  
Suite 273
Houston, Texas  77060-3551
Tel.:  800-948-6457
Fax:  877-609-7766

    First Data Independent Sales is the leading eCommerce Merchant Account solution service provider building on a decade of excellence. Last year the company serviced over 161,000 merchants and processed over $12 billion in bank card volume. With an estimated bank referral program featuring over 100 financial institutions and an industry recognized partnership with First Data Corporation. Cardservice International service from the efficient establishment of a merchant account to technologically sophisticated terminals and secure payment gateways, demonstrates a firm commitment to provide the very best service in the credit card transaction processing industry today. Cardservice International provides the expertise and reliability to enable merchants to accept credit cards, ATM/debit cards and checks. Our highly trained, multilingual Customer Service Representatives offer merchants the highest standard of service equipped with advanced computerized technology, we are providing merchants with accurate information and can answer processing inquiries in 140 languages and dialects.

    Services by Cardservice International.

    All trademarks, service marks and trade names referenced in this material are the property of their respective owners. The First Data Independent Sales Agent Program is operated by Cardservice International, Inc. Cardservice International, d/b/a First Data Independent Sales is a registered ISO/MSP for Wells Fargo Bank, NA, Walnut Creek, CA, an FDIC-insured bank. American Express® requires separate approval. The Eclipse terminal and its payment processing system are the subject of U.S. and International patents pending. VeriFone® is a registered trademark of VeriFone, a division of Hewlett-Packard Company. All other brand names and trademarks appearing in this specification sheet are the property of their respective holders.
    FDIS Texas is an independent Agent Office for Cardservice International.

450 N. Sam Houston Parkway  Suite 273 Houston, Texas  77060-3551
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