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Merchant Application

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(510) 786-9595

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QUESTIONS? WE HAVE THE ANSWERS

Please complete the following form and our Account Manager will call you within 24-hours with instructions on how to open a merchant account and purchase credit card processing equipment for my business.

1. CONTACT INFORMATION (* Required)

First Name

 *

Last Name

 *

Business Name

 *

Business Address

 

City

 

State

 

Zip Code

 

Phone

  XXX-XXX-XXXX *

Email Address

  *

Website Address

 

2. BUSINESS DESCRIPTION

Type of Business

Your Average Ticket Size

Monthly Credit Card Volume

 

Description of Products/Services

 

3. COMMENTS OR QUESTIONS

Comments or Questions?
(Tell us about your business)

Free, No Obligation Rate Analysis   |   Credit Card Terminals & Equipment |   Low Rates/Fees

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Office (510) 786-9595 • Fax (510) 786-9568

2C Processor USA, LLC is a registered ISO/MSP of First National Bank of Omaha,
and Wells Fargo Bank, N.A., Walnut Creek, CA