Application for Kiosk Credit Card Processing Solution


	Information Request Form for Kiosk Credit Card Processing Application

IMPORTANT:
The bank can only approve your application if you can meet the following requirements. Please do not complete form if you cannot meet these requirements at this time.

	You must be a US citizen, at least 18 years of age.
	Your business must be located in the US and you must have a physical street address.
	You must have a business checking account with a US bank.
	If Incorporated....You must have a Federal Tax ID Number or applied for one.
	Please fill out the online information request form and a sales executive will contact you within 24 hours or less! No Obligation! Free Consultation!

Request Information Form
Business Name:
City, State:
Zip:
Telephone Number:
Fax Number:
Business Details
Type of Ownership:
Title:
Type of product and/or service you provide:
Amount of Average Sale:
Estimated monthly Volume:
Web Site URL (if applicable)
Do you currently have a merchant account?	Yes	No
Contact Information
First Name:
Last Name:
E-mail Address:
Other Questions
When would you like your account set up?
How were you referred to us?
Click this button now to send your Email message. Or, click this button to erase your entries and start over.

Kiosk /Credit Card Rates and Fees

Discount Rate (VISA & MC)

1.80%

Transaction Fee

.25 per item

Monthly Statement Fee

$9.95

Monthly Minimum

$20.00

Application Fee (VISA & MC)

$195 value FREE!!

Download & Training Fee

FREE!!

note: rates reflect mandatory industry increase for April 2005

Processing Definitions Click Here

Merchants must have the following:

You must be a US citizen, at least 18 years old

A Business Checking Account

Tax ID Number and or Social Security number

Other Account Details:

Credit Card Processing Account Approval is Normal 24-48 hours

All funds are deposited in your checking account within 48-72 hours

Toll Free Support 24-7 365 days a year

All terminals come with 1 year warrantee

Satisfaction Guaranteed 100%

Advantage Bankcard Services
2 Cabot Place, Suite 9
Stoughton, MA 02072
(800) 565-9111 Ext.18
Fax: (781) 297-5230
Hours: Mon. - Fri. 9:00am - 6:00pm EST