Order Form

This form is used to signup for an Payment Gateway Account. 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 account. If you need a Merchant account as well, contact us for information about a combined application.


Step 1: Select the credit card processing network you are using for your existing Merchant Account.

Note: If you do not know this information, please contact your Merchant Account provider. You will also need to inform your Merchant Account provider that you intend on using as a payment gateway.

First Data Corporation (FDC) signup form

NOVA Information Systems signup form

Paymentech Processing Services signup form

Vital signup form

Global Payment Services (GPS) signup form