Authorize.net Global Payment Services (GPS) Order Form

This form is used to signup for an Authorize.net Payment Gateway Account using the GPS Processing Network. If you already have a Merchant account, or will be obtaining one from another company, then you may use this form to signup for just an Authorize.net account. If you need a Merchant account as well contact us for information about a combined application.

Merchant Business Information


Owner / Principal Information


Merchant Account Information

If you already have a compatible merchant account, please provide details on the merchant account below.


Billing / Bank Information

This is the bank account you will want funds deposited into / withdrawn from.