Invalid Link
This link is not valid. Please contact your manager for a new rep link.
Step 1 of 4
Merchant Information
Enter the merchant's contact details. They will receive an application link at this email.
Merchant Contact
Enter a valid email address
Required
Required
Step 2 of 4
Select Application Type
Choose which MPA(s) to generate for this merchant
Application Type
Step 3 of 4
Pricing & Fees
Set the merchant-specific rate schedule
Fixed Cannot be changed
Suggested Standard — editable
Pricing Model
Discount Rates
Visa / MC / Discover Rate *
Amex Rate *
Pin Debit Rate
Credit Card Surcharge %
Per-Transaction Fees
Pin Debit Per Item
$
AVS Per Item
$
Batch Fee Suggested
$
Voice Auth Suggested
$
Gateway Per Item
$
Wireless Per Item
$
Monthly / Annual Fees
Monthly Minimum Fixed
$
Statement Fee *
$
Gateway Access Fee Suggested
$
Wireless Access Fee
$
PCI Non-Compliance Fee Suggested
$
PCI Annual Fee Suggested
$
PCI Monthly Fee Suggested
$
Pin Debit Annual Fee
$
Pin Debit Access Fee
$
Wireless Activation
$
Exception Fees
Chargeback Fee Suggested
$
Retrieval Fee
$
ACH Reject Fee Fixed
$
EFT Fee
$
1099-K Reporting Suggested
$
TIN Mismatch Fee Fixed
$
Next Day Funding Fee
$
Same Day Funding Fee
$
Sales Rep
Required
Step 4 of 4
Review & Send
Confirm everything then send the merchant their application link
✅
Application Sent!
The merchant will receive an email with their application link shortly.
