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Fill out the form below and a representative will be in contact with you.

Contact Information

You must enter a contact name.
You must enter a DBA name.
You must enter a contact number.
You must enter a business phone.
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  By clicking, I attest that I am authorized to act on behalf of the merchant account.

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Business Address

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Merchant ID

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  I would like for a sales representative to contact me at:
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Same Day Funding Batch Fee - $.50 per batch
Same Day Funding Discount – .0005 on Same Day Funding Volume
By submitting this form, the MERCHANT confirms they have read and agree to the Same Day Funding Terms & Conditions, including all rates and fees. The MERCHANT understands that program participation is subject to Bank approval and is not guaranteed. The MERCHANT accepts responsibility for meeting all program requirements, including batching transactions by the Cut-Off Time. The Bank is not liable for funding delays beyond its control. By selecting "I Agree," the MERCHANT accepts these terms.