Merchant Account Referral Form

You get $100 for each business you refer to us when they setup a merchant account.

Fill out the following form and we'll send you a check when your referral gets setup to accept credit cards. Please make sure your's and your referral's information is accurate so that we can easily contact them and that there is no delay in getting your referral check to you.

Fields marked with * are required.

Your information

* Your name

* Your email

* Your phone

* Your address

* Your city

* Your state

* Your zip

Referral information

* Business name

* Contact name

* Contact phone

* Contact email

* Briefly explain how you know the business you are referring

Questions or comments

We hate spam too! We treat your information as if it were our own, and we will not share your information with anyone!

If you have any questions about your privacy, please read our user and privacy policy or contact us. We use secure technology to protect your information from loss, theft, or misuse!