Merchant Accounts >> You're Approved Worldwide

"Commitment to Excellence"

For more information, or assistance with a credit card processing merchant account from American Merchant Systems, please fill out the inquiry form provided below and an AMS representative will contact you within 24 hours

Email Contact:jackdaryanani@sprintmail.com

Business Name:
Contact Name:
Work Telephone:
Fax Number:
Home Telephone:
Address:
City, State, Zip:
Cell Phone:
Country:
E-mail:
Website:
Referred By:
Other:
Product Sold
Monthly Credit Card Volume:
Average Credit Card Transaction:
Monthly Projected Volume
Do you need a credit card machine?	Yes No
Are you a startup?	Yes No
DO YOU NEED A SHOPPING CART?	Yes No
How is your product sold:
	Retail
	Mail Order
	Telephone
	Internet
Have you ever been terminated by a processor before? If YES, please explain in comments box below.	Yes No
COMMENTS

Do you need a credit card machine?

Are you a startup?

DO YOU NEED A SHOPPING CART?

How is your product sold:

Have you ever been terminated by a processor before?If YES, please explain in comments box below.

DO YOU NEED
A SHOPPING CART?

Have you ever been terminated by a processor before?
If YES, please explain in comments box below.