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Online Information Request Form


Note: Required fields are marked with an asterisk (*)
*How did you hear about us? Or who referred you?
Your Business Name
*Contact Name
*Area Code and Phone Number
  - 
*E-mail Address
Has this business accepted credit cards before?
*Projected date that you need our services in place? ed?
*Description of Your Product/Service
*Estimated Average Ticket Size/Amount
*Estimated Monthly Credit Card Volume
Which of our Options are you interested in? (If you're interested in more than one, please mention that in the comment box below.)


Please be specific and let us know what you would like to know more about.
One of our professional staff will receive it and contact you shortly to follow up and answer your questions.
You may contact us toll-free at 1-800-985-8010.




Privacy Statement

In recognition of our clients' expectations of privacy, we have adopted the following privacy statement. Access Bankcard will not disclose confidential customer information unless:

    1. The customer consents to the disclosure
    2. The information is provided to help complete a transaction that the customer has authorized

Access Bankcard requires confidential customer information to be safeguarded at all times, and to be used only for legitimate business purposes.


Internet Systems | Check Guarantee | Swipe Terminals

Copyright © 1998 - 2003. All Rights Reserved.
Access Bankcard
Nashville - Seattle

Access Bankcard is our trademark.

Access Bankcard displays the Visa and MasterCard logos as a registered bankcard merchant for its equipment sales.