Apply now for a credit card
Merchant services processing account
with SignaPay
a registered ISO/MSP for
Bank of America NA, Charlotte, N.C.

With SignaPay you can accept every major
credit card including Visa�, MasterCard�, American Express�,
Discover�, Diners Club�, and JCB� .

And with SignaPay you won't have to worry
about anything. Their Business Specialists will
work with you to determine what best meets your needs.
SignaPay offers excellent credit card processing
solutions for the following business types:

Retail, including start-ups
Mail/phone order
Medical and legal practices
eCommerce

Reporting tools at your fingertips

Move closer to a paperless reporting environment
with secure, state-of-the-art reporting systems made
available by SignaPay. Obtain a wide variety of merchant
bankcard account information via your own personal computer.
Gain secure access to all your bankcard account transactions
when you need them using simple point and click commands.
Choose from a variety of individual reports and reporting tools.

Apply Now

Please note that all fields followed by an asterisk must be filled in.

Business/Corporate Name*
Business/Corporate Name*

DBA (Doing Business As) Name*
DBA (Doing Business As) Name*

Location Address *
Location Address *

City, State, Zip*
City, State, Zip*

Federal Tax ID Number*
Federal Tax ID Number*

Business Phone*
Business Phone*

Business Fax*
Business Fax*

Bank Name & Phone*
Bank Name & Phone*

Checking Account Number*
Checking Account Number*

Bank Routing #*
Bank Routing #*

How long in present business?*
How long in present business?*

Merchandise/Service Sold*
Merchandise/Service Sold*

Monthly Bank Card Sales*
Monthly Bank Card Sales*

Average Ticket Amount*
Average Ticket Amount*

Business type*
Business type*

The majority of your business will be:*
The majority of your business will be:*

Primary Sales Method*
Primary Sales Method*

Owner/Officer NAME*
Owner/Officer NAME*

Owner/Officer TITLE*
Owner/Officer TITLE*

Owner/Officer RESIDENCE Address*
Owner/Officer RESIDENCE Address*

Owner/Officer City/State/Zip*
Owner/Officer City/State/Zip*

Home Phone #*
Home Phone #*

Applicant SS #*
Applicant SS #*

Applicant Equity Ownership Percentage*
Applicant Equity Ownership Percentage*

E-mail Address*
E-mail Address*

Web Site URL*
Web Site URL*

I am interested in a quote for:*
I am interested in a quote for:*

	A RETAIL Merchant Account
	An E-COMMERCE Merchant Account
	A MAIL/PHONE Order Merchant Account
	A Mobile/WIRELESS Merchant Account
	CHECK Guarantee and/or Conversion
	Other (please specify below)

Equipment Options*
Equipment Options*

	I need to get new equipment
	I already own processing equipment
	I am interested in FREE equipment programs

Check Services options*
Check Services options*

	Check Guarantee
	Check Conversion
	Check Verification
	Not sure/none

Debit Options*
Debit Options*

	Signature debit only (no pin pad)
	Pin debit
	Not sure/none

I will need my Merchant Account activated in:*
I will need my Merchant Account activated in:*

	Immediately
	30-60 days
	60 or more days
	Not sure

Comments or Special Instructions

Please enter the word that you see below.

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Apply now for a credit cardMerchant services processing account with SignaPay a registered ISO/MSP for Bank of America NA, Charlotte, N.C.

Apply Now

Apply now for a credit card
Merchant services processing account
with SignaPay
a registered ISO/MSP for
Bank of America NA, Charlotte, N.C.