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Thank you for your interest in Premier Payment Systems as your provider for merchant services. We pride ourselves in working with our clients to build a long-term, mutually beneficial relationship. We help you choose the right program for your business to guarantee your satisfaction! Providing you with services you need at the lowest rates possible is our goal. With Premier you can expect:

• Lowest overall processing costs
• No application or set-up fees
• Quick turn-around time on applications
• Excellent, friendly account managers
• Quick and easy account set-up
• Flexible programs for your business needs
• Fast deposits on approved transactions into your account
• Providing the most secure, up-to-date transactions hardware and software available

Application Form

* denotes required field

*Legal Business Name

*DBA

*Contact Name (first and last name)

*Phone Number

*Best Time to Call

*Business Address (Street Address, Zip, State)

*Do you currently accept credit cards?

Yes    No

*How do you process or anticipate processing credit card transactions? (please select the option that best represents how you will process the majority of your transactions):

swipe cards at retail location
on the internet through a website or gateway
by phone or mail order
mobile business in need of wireless processing
other

*Type of products/services sold

Email Address

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