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 and receive a FREE Merchant Account with each Fast Charge gateway set up!

Call (800) 757-5453 or simply answer the questions below to get started.

* This form is for US based businesses only. If you have a Non-U.S. based business please check out our international program here: Non US Merchants

OWNERSHIP INFO

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

* Security Code

Copyright © 2010 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

The help you people have given me goes beyond what anyone would expect from a merchant service company! When I started my business I was helpless when it came to technical stuff and I wore out the patience of many techs at the various...

Merchant Account | Credit Card Processing

Merchant Application Form