First Data Independent Sales

Secure Merchant Account Application
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Secure Online Merchant Account Application

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Quick Email Answers. Use the form below and we will answer FAST!

To apply now and start accepting credit cards fast, click here.

1-877-959-0707

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Congratulations! Your are on STEP-2 of your Merchant Account Application.

Step-2: Your Information:

Your information is kept private and secure.
This form uses 128 bit SSL Secure Servers!

If you have questions, call 1-877-959-0707 or E-Mail us

Legal name of business:
First Name: *
Last Name: *
DBA
Email Address: *
Telephone Number: *
Fax:
Street address:
City:
State:
Zip:
Country:
Type of business:	Describe the type of business you will use this merchant account for. (Ex. I sell shoes...)
Estimated average monthly MC/Visa volume:
Highest estimated monthly MC/Visa volume:
Estimated average ticket/sales amount:
Highest estimated ticket amount:
Your website URL (if applicable):
Type of ownership:	Proprietorship Partnership Corporation Other
Principal owners' legal name:
% (percent) Ownership:
Home telephone:
Home address:
City:
State:
Zip:
Personal E-mail:
Comments or Questions:
Are You Human?
Type Code Here:

Your information is kept private and secure.
This form uses 128 bit SSL Secure Servers!

QUESTIONS?

If you are having trouble with the above form, please contact us. We can answer any questions you have and get your application into the approval process. You can either use the email button below to submit your question or you can call us at: 1-877-959-0707

*All claims and offers made on this website are made by Central Texas Inc. and not by First Data Independent Sales.
Please contact Central Texas Inc. at: (877) 959-0707 for details concerning all offers made on this website.

Services by Cardservice International.
The FIRST DATA name, trademark and logo are owned by First Data Corporation. All other 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, doing business as First Data Independent Sales (FDIS), is a registered ISO/MSP of Wells Fargo Bank, N.A., Walnut Creek, CA. American Express requires separate approval. FDIS Agent #16736 is an independent agent for Cardservice International.