Payment Processing and Settlement from Integrity Payment Systems

Payment Processing Demands Integrity

(888) 477-4500

How Can We Help You?

MERCHANT ACCOUNT INQUIRY FORM

Submit this form if you are seeking a merchant account to allow your business to accept credit cards; or, if you are paying too much for your credit card processing.

Fill out the following form and send to Integrity Payment Systems by clicking on the SUBMIT button at the bottom of the form. When going from field to field on the form do not press the Enter key, use the Tab key or click on the field and then enter your response.

Name of Business:

Type of Product or Service:

Contact Name:

Day time Phone:

Mobile Phone:

Business Address: (or home addr if home based bus.)

City:

State:

Zip Code:

Does your business currently Accept credit cards?:	Yes No

How did you hear about us?

If you leave this Merchant Account Inquiry Form to go to another page, you may lose the data you entered.
To print this MAIF, click on your browser's menu bar - File, then Print.

After you click on the "SUBMIT" button, your Merchant Account Inquiry
will be electronically transmitted to Integrity Payment Systems.
A representative from Integrity Payment Systems will then promptly be in contact with you.