Merchant Account Alternatives Consultation

This form is an excellent tool to analyze your business type and assist us in providing you with a payment processing solution that meets your needs, and increase your profits. This service is free of charge and there is no obligation. Once you have submitted your information, one of our consultants will contact you promptly to provide answers to your questions.

Please Note: Ballistic Merchant Services will never sell, rent, or share your information with any other business or third party. You will never be placed on any newsletter or mailing list without your permission.

Business Details

Business Name
Legal Name
Physical Address
City
State / Province
Postcode
Country
Contact Name
Contact Phone
Fax
Email
Please describe your products and/or services:
Age of business
Does your business have a website? Yes No
Please provide your e-commerce URL and username and password if required
URL
Username
Password

Processing History

What is your current/projected monthly sales volume?
What is your average ticket amount?
What is your highest ticket amount?
What amount in returns or chargebacks do you anticipate per month?
Do you currently process checks or have you in the past? Yes No
Previous or Current Processor
Why do you need a new processor?
Comments or Questions: