Agent Registration

Please complete the form below to become a registered agent in our system. Leads will start flowing shortly after the launch of the public site.

General Info

Company Name: *

Website:

First Name: *

Last Name: *

Email: *

Phone : *

Do you wish to upload a logo for your agency?

Click to pick manually

Or drag and drop here

Address Details

Distance Willing to Travel: *

Address 1: *

Address 2:

City : *

State: *

Zip : *

Marketing Details

Please enter up to three bullet points you want potential customers to see about you. These are limited to 50 characters.

Bullet Point 1:

Bullet Point 2:

Bullet Point 3:

Please enter a 500 character or less summary about your business and services provided.

Summary: *

Merchant Processing Features

Business Type: *

What is your Sponsor Bank: *

Primary Processing Platform / Partner: *

Secondary Processing Platform / Partner:

Other:

How many merchant services sales represenatives are in your office ?: *

How many clients do you service?: *

Share publicly?: *

Yes No

Monthly Volume Processed by your merchants: *

Share publicly?: *

Yes No

Do you offer High Risk?: *

Yes No

Do you offer Point of Sale?: *

Yes No

Do you offer Merchant Cash Advance or Financing?: *

Yes No

Agents and ISOs

Register your merchant services company and increase your leads 100% FREE! Both ISOs and independent agents can register using the link below. Complete your profile and start bringing in REAL local leads for free.

Quick Links

Merchant Registration
Agent / ISO Registration