Merchant Acount Application,CardService Texas

HOME GATEWAY CART RETAIL ECLIPSE MAGIC MOBILE E-COMMERCE LEASE MARKET CONTACT

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.

Chuck Taylor
Sr. Account Exec.
eCommerce Solutions
Retail & MOTO Merchant Accounts
Bank & Credit Union Merchant Accounts

450 N. Sam Houston Parkway Ste. 273
Houston, Texas 77060-3551
Ph: 800-948-6457
Fax: 281-445-7257

Cardservice International is the leading eCommerce solution service provider building on a decade of excellence. Last year the company serviced over 195,000 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 demonstrates a firm commitment to provide the very best service in the eCommerce transaction processing industry today. Cardservice International is a Registered ISO/MSP for the following FDIC insured banks: First Financial Bank, Englewood, CO., Wells Fargo Bank, Walnut Creek, CA,. All other brand names and trademarks appearing are the property of their respective holders. American Express, Discover, and Diners require separate approval.