Merchant Application Form

No Business is Too Big, Too Small, Too New or Too Old! 98% Approval Rate! Low Fees, Fast Approval, Easy Setup! Apply NOW! By filling out the form below you will not enter in to any agreements or contracts! For a limited time only - if you apply before (Midnight, Aug 28, 2008) We'll give you a FREE Merchant Account with each Fast Charge gateway set up.

OWNERSHIP INFO

SALES INFO

BUSSINESS OWNER INFO

COMPLETED

Please complete all required fields to apply now. All fields with an ( * ) are required to properly apply.

Owner 1 Name

Percent Owned

Owner 2 Name

Percent Owned

*Contact Name

*Phone Number

*Email Address

*Best Time to Call

Legal Business Name

Business Street

Business State

Business FAX

Date Opened

Doing Business As

Business Zip Code

Business City

Business Phone

	Copyright © 2008 Electronic Transfer, Inc. All Rights Reserved. Electronic Transfer offers merchant account service and credit card processing to merchants who need merchant services to accept credit cards. ETI is a registered ISO/MSP of Westamerica Bank, Santa Rosa, CA.. American Express and Discover approved separately.	Customer Testimonials Electronic Transfer has been awesome. Thanks to the combination of Electronic Transfer and Fast Charge, my business has grown rapidly! Having the ability to process online payments has been a boon for myself and my customers. I highly... Read More
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Merchant Account | Credit Card Processing

Merchant Application Form