Merchant Account Application
(Please fill out the online  application below)

Whether you have a retail  storefront, restaurant, hotel, service business,  mail/phone order, or e-commerce business, your customers  expect you to accept credit cards.

Total Merchant Services can help you easily set up a merchant account to take credit cards. The entire  process will take just minutes of your time and you'll  be up and running in a matter of days.

  • FREE online  application
  • FREE 2nd day airshipping
  • FREE equipment placement program
  • FREE replacement of broken  equipment
  • FREE set-up and  training
  • FREE check imager
  • FREE internet  gateway for online merchants
  • FREE online access to your merchant account

Ready to get started? Fill out the following form below

OWNERSHIP  & BUSINESS INFORMATION
Owner Name:


Contact Name (if different):


E-mail Address:


Legal Business Name:


Business Street Address (No P.O. Boxes):


City:


State:


Zip Code:


Business Phone Number:


Fax Number:


Cell Phone:


Products Sold:


Estimated Average Credit Card Sale:


Estimated Credit Card Monthly Volume:


Website Address (if applicable):


Equipment Needs - package 1:


Equipment Needs - Package 2:


Equipment Needs - Internet Gateway Software:


Equipment Needs - Merchant Account Only:


Do you want Value Added Service - Gift/Loyalty Program:


Do you want Value Added Service - Electronic Check Conversion Guarantee:


Do you want Value Added Service - Free Statement Analysis:


Do you want Value Added Service - Cash Advance Program:


Do you want to accept American Express:


Do you want to accept Discover:


If working with a salesperson please enter their name here:


Any additional questions or comments:
Toll Free (888) 832-6640 • Fax (509) 352-7523

Sales: sales@myfreemerchantaccount.com - Merchant Support: support@myfreemerchantaccount.com

© 2007 Total Merchant Services, Inc.
Total Merchant Services (TMS) is a registered ISO/MSP for HSBC Bank USA, National Association, Buffalo, NY