Merchant services and credit card processing - Providing the merchant account and payment gateway rolled into one
You are applying for the High-Risk Merchant Account & Gateway

To sign up for the High-Risk Merchant Account and Gateway please complete the following online application form. Once you have completed the below form, you will be contacted within 2 - 3 business days by your allocated account manager who will discuss all costs, fees and the next steps.

Looking for a processing solution for pharma? Please click here

Company Information - Please complete all fields and do not use all capitals

Merchant (Company) Name:

Country of Incorporation:

Contact Name:

Type of Business:

Contact email address:

Telephone number: (including country code)

Monthly Turnover:

Already accepting payments online?

Current Payment Provider: (if applicable)

Website URL that will be used:


Business Description:

Please explain what you will be accepting payments for. DO NOT simply put 'we need to accept payments' or 'need a virtual terminal' etc. as this is already assumed. We need to know what YOUR business is.

*** We can only help Tech Support and Pharma with our eCheck Solution. Any applications for tech support will be automatically transferred to that solution or even deleted ***

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