Merchant Accounts, Credit Card Terminals, Check Processing at Financial Expansion Services

Financial Expansion Services is a member of the following organizations:

www.bnihouston.com

El Campo Chamber of Commerce
www.ElCampoChamber.com

National Space & Technology Association

www.nstahouston.org

Pre-Application
All information collected on our online application remains confidential and will be used only for the purpose of processing your request. If you have questions at any point, just call our service support center at: 713-899-5993

Required fields are marked with (*)
GENERAL INFORMATION:
Legal Business Name:	*
DBA (Doing Business As):
Business Entity:	*
Date Business Started:	* (Month/Day/Year)

Physical Business Address:	*
City:	*
State:	*
ZIP:	*
Business Phone:	*
Business Fax:
Contact Phone Number:
Website Address:
E-mail Address:

ABOUT YOUR ORGANIZATION:

Business Type:

*List Product(s) or Service(s) Sold:

Processing History:

Average Invoice/Ticket Sale:

Estimated Monthly Credit Card Volume:

Estimated % of Internet Orders:
Estimated % of Mail/Phone Orders:
Estimated % of Face to Face (Swiped) Orders:
(Total should equal 100%)

AREAS OF INTEREST:

(Please check all that apply)

Credit Card Acceptance

Checks By Phone

Debit Card Acceptance

Online E-Checks

Gift/Loyalty Cards

E-Commerce Processing

Check Guarantee

Web Design/Shopping Carts

Check Conversion

Recurring Billing

ACH/EFT Payments

Pre-paid Products

Bank Drafting/Auto Pay

Payroll Solutions

NSF Check Recovery

Equipment/Service Needs:

PRINCIPAL OFFICER/OWNER INFORMATION
Primary Name:	*
Ownership Percentage:	*
Home Address:	*
City:	*
State:	*
Zip:	*
Home Phone:	*

OTHER INFORMATION
How did you hear about us? * (Example: Internet, Postcard Mailing, Printed Advertisement, Referral, etc...)


Comments Or Special Instructions:

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