Referral Partner Form:  Please fill out the contact information below of the business you are referring to us, and we will
contact them within 24-hours.  If they open a merchant account, we will pay you $100 referral fee!

Contact Information

* Business Name
State
Zip
 (xxxxx)
Owner Name
* Contact Name
* Email
Website
* Phone
 (xxx-xxx-xxxx)
Cell Phone
 (xxx-xxx-xxxx)
Toll Free
 (xxx-xxx-xxxx)
Fax
 (xxx-xxx-xxxx)
 

Business Information

Referred By
Do you currently accept credit cards?
 Yes  No
If you do, which ones?
Visa Master Card Discover Amex Other
Current Processor Name?
Annual Sales Volume $
Monthly Visa/MC Sales Volume
($000,000,000)
Highest Ticket Amount $
($000,000,000)
Average Ticket Size $
($000,000,000)
Do you currently accept gift cards?
 Yes  No
Do you currently accept pin debit cards?
 Yes  No
Do you use Electronic Check Processing?
 Yes  No
Do you use Check Verification/Guarantee?
 Yes  No
 

Please Upload Your Previous Processing Statements

Upload Documents
 
 
Questions?
800-985-9157
3580 E. Pacific Coast Hwy
Long Beach, CA 90804
Fax:
800-985-9157
Website:
www.bankcardpros.com

© Copyright 2017.  Business Access CRM Software, LLC.  |  Toll Free 800-985-9157  |  Fax 800-985-5371  |  Office 562-206-0156

Business Access CRM Software, LLC.  |  Leads. Sales. Profits. Success.