CCP Payment Services

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Merchant Apply/Contact Inquiry Form

We specialize in high risk merchant account industries. Fill out the form below to apply for your quote

First Name:
Last Name:
Company:
City:
State:
Zip:
Country:
Phone:
Email:
Company Site Name:
Company URL:
About Your Business:
* Please describe your business establishment and
if known your Average Purchase Amount and Highest Purchase Amount
Est. Monthly Volume:
Business Type: Established Retailer New Business
Offline, Online or Both: Online Offline Both
Account Type: Need New Account Checking into Rates
Security Code:
Enter Code Above:
Submit:

Our company helps businesses like yours get your agency setup to take credit cards from your clients. If you are already taking credit cards, we can work to reduce your transaction fees. If you need a backup account we can supply that as well. To get started please fill out the form to the right or call us during normal business hours and an agent can further assist you.

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