E-mail us at: info@accesscard.com


Offshore Merchant Account Form


Please fill out the following information form.


We will contact you within 24 hours with your merchant account rates and fees. This is a free service and there is no cost or obligation.

For high-risk high-volume merchants: adult, gaming, lotto, telemarketing, networking, credit and debt enhanchment.





Business Information

Business Name:
Web Site Address:
Product or Service Sold:
Business Start Date (MM/YY):
Estimated Monthly Card Volume:
Estimated Average Card Sale:

Contact Information

Contact Name:
E-mail Address:
Best Day Number to Reach You At:
Best Time To Call:
Time Zone:
Notes or Comments: