Apply for a New Merchant Account

Applying for a new merchant account is fast and easy! With our free Merchant Account application, you can start accepting credit cards within 2 to 3 business days. Simply complete the form below and an account specialist will contact you shortly to walk you through this painless process. If you have any questions, please call us toll-free at (877) 251-3699.

Please be aware that all information you provide will be kept private and confidential. Synergetic Processing Services never shares or sells personal data at any time.

* Application applies to U.S. based businesses only
Business DBA name:
Business DBA street address:
Business DBA city:
State:  
 Zip:  
Business phone number :
Business email address:
Business website address:
Business description:
Type of business:
Description of premises:
Do you currently accept credit cards?
Yes No
If so, do you accept?
Credit Cards Only Credit and PIN-Based Debit Cards
Average dollar amount per sale:
Average monthly volume:
Are you in need of processing equipment or online service?
Yes No
What additional programs do you use or are interested in? ( Select all that apply )
 
American Express  
Gift Cards  
Check Service  
Cash Advance  
Other
Authorized signer's first and last name:
Best time to be reached:
Contact phone number:
Additional Comments:
Please enter code: refresh  
 
 
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