903-675-3232
903-675-3201
PO BOX 387, Athens, TX 75751

Merchant Account Pre-application Form

Thank you for your interest in credit card processing. So that we can better understand your needs, we need to ask you a few questions regarding your business. Please complete the form below and we will call you as soon as possible once we receive your pre-application. This is NOT an application for Credit Card processing; however, it will speed up the process. Once we receive this form, we will contact you to begin the application process.

Please read Patriot Act Notification by clicking here.

Patriot Act Notification

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

Since September 11, 2001, federal regulations have changed dramatically. To help the government fight the funding of terrorism and money laundering activities, a federal law called the US Patriot Act requires all financial institutions to obtain, verify and record information that identifies each person (or business) who applies for an account.

What this means for you:

When you open an account, we need to capture certain information that allows us to verify your identity. This includes your name, residence address, social security number, drivers' license number and home phone number.

We are required to compare your identity to lists of persons and organizations maintained by any federal agency designated by the Department of the Treasury. If your name appears on any of these lists, we must refuse to open your account, close your account if it is already open, notify federal authorities, and follow all federal directives.


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