Card Connect Merchant Account Consultation Form

First Name


Company Name
MONTHLY Credit Card Volume:

Which Best Describes Your Situation:

I need a brand new merchant account (don't currently have one set up)I have a merchant account now, but I would like to set up a new accountNot sure. I need to talk with you about it

How do you currently process credit cards?[Check All That Apply]

Retail Store (card present)Phone Orders (call center or office phone orders)Mobile (cell phone or tablets)Through the Internet (on a website)Other (not sure yet)

My company is located:

in the United StatesNOT in the United States

I have the ability to make decisions for my company!