Merchant Accounts and Credit Card Processing Services

 Merchant Application / Affiliate Application

If you are looking for a merchant account and/or payment gateway to process transactions, please submit the form below. Your account will be assigned to an account manager who will contact you within 24 hours of your form submission, with details on the rates & services that we can offer to you.

* ALL BOLD FIELDS ARE REQUIRED. Salutation: Mr. Mrs. Ms. « Your first name: « Your last name: « Company name: « Your title:   Company email address: Confirm this email address: « Company phone number: « Street address: « City: « State/Province: « Zip/Postal code: « Country: United StatesCanadaUS Outlying IsVirgin Is (U.S.)AlbaniaAmerican SamoaAndorraAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBotswanaBouvet IslandBrazilBr. Indian Ocean T.BruneiBurkina FasoBurundiCameroonCape VerdeCayman IsCentral African RepChadChileChristmas IslandCocos (Keeling) IsColombiaComorosCongoCongo, Democratic RepublicCook IsCosta RicaCote D'IvoireCroatiaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican Rep.EcuadorEl SalvadorEquatorial GuineaEritreaEthiopiaFalkland IsFaroe IsFijiFinlandFranceFrance (Metro)French GuianaFrench PolynesiaFrench Sou. Terr.GabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard & McDonaldVaticanHondurasHong KongHungaryIcelandIndiaIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, South (Republic)KuwaitKyrgyzstanLaosLesothoLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMaldivesMaliMaltaMarshall IsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldova RepMonacoMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNeth AntillesNew CaledoniaNew ZealandNicaraguaNigerNiueNorfolk IslandNo. Mariana IsNorwayOmanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRwandaSt Kitts & NevisSt LuciaSt Vincent & Gren.SamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSingaporeSlovakiaSloveniaSolomon IsSomaliaSouth AfricaS Georgia & Sand IsSpainSri LankaSt HelenaSt Pierre & MiquelonSudanSurinameSvalbard & J. MayenSwazilandSwedenSwitzerlandTaiwanTajikistanTanzaniaTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IsTuvaluUgandaUnited Arab Emir.United KingdomUruguayUzbekistanVenezuelaVirgin Is (Br.)Wallis & Futuna IsWestern SaharaYemenZambia « We regret that we cannot work with merchants in some countries.   Years in business: « Do you have a web site: Yes No « Web address: Web address 2: Web address 3: Web address 4: Web address 5: Type of Website: products services gaming adult pharmaceutical other Description of business: We regret that we cannot work with merchants in some businesses. « Average sale amount: « Estimated monthly sales: $0 - $1,000 $1,000 - $5,000 $5,000 - $10,000 $10,000 - $25,000 $25,000 - $50,000 $50,000 - $100,000 $100,000 - $200,000 $200,000 - $400,000 $400,000 - $600,000 $600,000 - $800,000 $800,000 - $1,000,000 $1,000,000 + « Desired Currencies: Are you currently processing: Yes No « Current processor: Can you provide past processing statements: Yes No Verification Code (Type in the numbers below) (click image to generate new numbers)

 

Include:

Travel
Credit/Debt Collection
Electronics
Timeshare
Mail Order
Telephone
High Risk
High Volume
Real Estate
Replica Products
Herbal Supplements
Financial Consulting
Calling Cards
Phone Cards
VOIP
Telecommunications
High Volume
Telemarketing
Escort Merchants
Dating
eBook & Software
Event Tickets
Prepaid Debit Cards
Offshore

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This website and all of it's contents are Copyright ©2007 National Bankcard Systems of Durango.
All rights reserved.

National Bankcard Systems is a registered service provider for the following FDIC-Insured Banks:
 
JP Morgan Chase Bank; BankcorpSouth Inc, Tupelo, MS;
US Bank of Minneapolis, Minneapolis MN.