Apply For Credit Card Processing - THC Merchant Services

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Fields marked with an * are required

First Name *

Last Name *

Doing Business As (dba), if applicable

Business address

Owner or officer

Date business was established *

Official owner *

Business phone number *

Mobile phone number *

Email address of contact person *

Products/services sold *

URL(s) where products will be sold *

Description of core business, target markets and countries where goods are sold *

Annual Revenue *

Average ticket amount *

Monthly credit card sales *

Number of monthly transactions *

Chargeback % last 6 months *

Current processor *

Comments or additional information