1: Overview

2: Change Over Inquiry Form

Change Over Inquiry Form

Thank you for your interest in Merchant Gateway and welcome to the Free Switch process.

Our inquiry form s is quick, simple and very easy. To begin the application process for a Merchant Gateway Merchant Account, simply submit the brief one-page form below. It's that easy! You will be contacted shortly by a Merchant Gateway representative.

About Your Business (All Fields Are Required) Your Contact Information
Company:
 
First Name:
Primary Business:
 
Last Name:
Primary Sales Method:
 
Email Address:
Website URL:
 
Phone:
 

         
Address:
 
State:
City:
 
Zip:
 

         
Federal Tax ID Number:
 
Average Card Sales / Month:
Months in Business:
 
Highest Sale Amount:
Do You Currently Accept Credit Cards:
 
Total Credit Card Volume:
 

       

(*This is an invitation to apply for a Merchant Account. Merchants may be required to complete a more detailed application. All applications are subject to credit approval.)

 
 
@ 2008-2015, Merchant Gateway LLC, is a registered agent of Citizens Bank, Providence, RI., N.A.