Merchant Account Request - America First Credit Union

First Name:

Please enter your first name.

Last Name:

Please enter your last name.

Phone:

Please enter a valid phone number.

Email Address:

Please enter a valid email address.

Business Name:

Please enter your business name.

Business Address:

Please enter your business address.

City:

Please enter your city.

State:

Please select a state.

Zip Code:

Please enter a valid zip code.

Do you have an America First business account?

Yes

No

Please indicate if you have an America First business account.

Business Account Number:

Please enter your business account number.

Are you currently accepting credit cards?

Yes

No

Please indicate if your business is accepting cards.

Current Merchant Processor:

Please enter your current merchant processor.

Estimated Monthly Credit/Debit Card Sales:

Please select your estimated monthly credit/debit card sales.

Interested In (select all that apply):

Mobile

Point of Sale

Virtual Terminal

Invoicing

Ecommerce

Unsure

Please choose an interest.

Preferred Contact Method:

Please select a preferred contact method.

Best Contact Time:

Please select a best contact time.

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