ICAN Merchant Account Services for your Business!

Contact Information

First Name

Last Name

Email

Please note that some email companies like AOL, Hotmail, Yahoo and rr.com are notorious for blocking emails without your permission. If you use an email address from one of these companies, it is very likely you will NOT receive your Welcome email. We highly recommend using an email address such as GMail.com or another alternative. 

Re-enter Email Address

Company Information

Type of Business

Corporation

LLC

Partnership

Sole Proprietor

Company Name

URL

Please enter your website address. Please be advised: No adult or amoral sites are allowed! 

Address

Apt/Suite

City

State

Zip/Postal Code

Country

Phone

Fax

Number of Locations

Years in Business

Federal Tax ID or SSN

Products and Services Provided

Sales Source

Retail

Phone

Web

Average Ticket $

Monthly Processing $

Type of Building

Commerical

Residential

How Many Square Feet?

Own or Lease?

Own

Lease

If Lease, Contact info for Lesser(s)

1st Applicant Name

% Ownership

Cell Phone

Home Phone

Best Time to Call

2nd Applicant Name

% Ownership

Cell Phone

Home Phone

Best Time to Call

Trade References (2)

Reference #1: Company Name

Contact name

Address

City

State

Zip/Postal Code

Country

Phone

Account Number

Reference #2: Company Name

Contact name

Address

City

State

Zip/Postal Code

Country

Phone

Account Number

Processing Equipment

Current Make and Model Number

Would you like information on the Visa and MC requirements for EMV?

(This is the global standard for credit and debit payment cards based on chip card technology.) 

 

Types of Services Requested

Credit Cards

Cash Advance

Loyalty / Gift Cards

Our Provider and its partner banks guarantees proposed savings based on an analysis of the merchant's three and possibly up to six most recent processing months (Depending on merchant's business type and monthly volume.)

Guaranteed proposed savings are a function of the overall monthly costs (a combination of rates, fees, and monthly charges) based on the merchant's current rate structure and processing profile in comparison with USABANCARD's partner bank's proposed rates, fees, and monthly charges.

The guarantee payment of $1,000 is payable only if Our Provider's analysis shows no projected savings when compared to the merchant's current rate structure and processing profile. Any savings shownin our analysis, regardless of dollar value, renders the $1,000 guarantee non-payable. Actual savings for months in which the merchant processes with Our Provider's partner bank may vary from month to month, depending on processing volume and profile. Actual savings are not guaranteed. The guarantee is not applicable to high risk merchant types or merchants with poor credit. However, we guarantee 100% approval* even if you have been turned down elsewhere.

* Available in the U.S. only, and provided you have not been convicted of merchant account fraud.