Print this page for reference before continuing.

Click the form titles (#1-4) to view and print them using Adobe Acrobat Reader. If you don't have Acrobat Reader, it can be downloaded free from Adobe's web site. Depending on the speed of your Internet connection, these forms may take a while to download. Your screen may appear blank until they are fully downloaded.

1. Merchant Processing Application
Type your information directly into the application. When finished, print the application and fax it to 801-298-9789 attn CCMA.

Page One: Complete all sections.
Page Two: Complete these fields in "Services Ordered" section as described below.
    Monthly Processing Limit Requested: Enter the total dollar amount of your estimated monthly credit card sales. Keep in mind that monthly limits under $5000 will be approved more easily.
    Average Ticket: Enter the dollar amount of your average customer order. For example, if you estimate $3000 total sales purchased by 10 customers total, your Average Ticket is $300.
    American Express, Discover, Diners Club
If you would like to accept these card types, check the appropriate box and complete the additional forms below. American Express will charge an additional $5 monthly fee. Discover will charge a one-time $25 setup fee.

Page Two: Initials and Signatures
    Print your completed application. Initial, sign, and date the "Certification & Agreement Section. Sign and date the "Personal Guaranty" section. Fax your completed application to 801-298-9789 attn CCMA.

*** Principal 1 and Principal 2 must both intitial and sign the application. ***

2. Merchant Processing Agreement
Print this agreement for your own records. It does not need to be mailed or faxed.

3. American Express Card Acceptance Agreement
This is optional but is strongly recommended because it increases your potential customer base. Without it, you cannot accept payments from customers who use American Express cards.

4. Discover Card Acceptance "easiApp"
This is also optional but strongly recommended because it allows you to accept payments from customers who use Discover cards. There is an additional $25 application fee that will be billed by Discover.

5. A voided business check from a US financial institution
(A check with VOID written on the face). This will be the checking account linked to your merchant account; i.e., your sales proceeds will be deposited into this checking account and your monthly service fees will be drawn from it.

Important instructions regarding checking accounts:
Merchant accounts, by definition, are issued to businesses, not individuals. Therefore, you must submit a voided check from a business or DBA ("doing business as") checking account. If you don't have a DBA or business checking account, please contact the US financial institution of your choice to either open one or to convert an existing personal checking account to a DBA or business checking account. Please note:
• The business name on your application must appear on your voided check.
• Any individuals whose names appear on the check must sign the Merchant Processing Application (#1 above) twice - under both "Certification & Agreement" and "Personal Guaranty." For example, if the business name is the name of two people, or if two individuals' names appear on the check, both people must sign the Merchant Processing Application under both "Certification & Agreement" and "Personal Guaranty."
• If the business name (or "DBA") is not printed on the check, a letter is required from the bank (on bank letterhead) stating that the account is a DBA or business account. Please be sure that the letter is signed by a bank representative and gives the Transit Routing Number and the DDA (account number) of the account.
• If no checks are available on the account, a letter is required from the bank (on bank letterhead) stating that no checks are available but that the account may be debited and credited via ACH. Please be sure that the letter is signed by a bank representative and gives the Transit Routing Number and the DDA (account number) of the account. Please also be sure the letter states that the checking account is a DBA or business account.

6. Additional materials
The following items are required of large merchants, and are highly recommended in all cases to speed up the approval of your merchant account. These items help assure the legitimacy of your business:

• Photos of exterior signage and inventory
• Marketing materials (brochures, flyers, print ads, etc.)
• Copies of last three processing statements (required of any business that currently has a merchant account)
• Printout of web site. Print the main 2-3 pages of your web site. (The site does not have to be complete but must be viewable online.) The business name on your application must clearly appear on your web site. Your web site must also display your return policy and customer privacy policy. (For an example of a privacy policy, click here. This is just an example; yours does not need to be this elaborate.)
• Financial statements (prepared by independent third party). If you will be doing near or greater than $10,000 in monthly credit card volume, financial statements are generally required.

• Copy of Internal Revenue Service 501(c)3 (non-profit status) letter
• Financial statements (prepared by independent third party) are required.

8. Application fee
The merchant account application fee is $95. Please include a check with your application (payable to iTransact) or click here to pay online with a check or credit card.

If you have questions prior to mailing these items, please contact iTransact at 801-298-1212 to review the application requirements and avoid delays. You may also email ccma@itransact.com

The application should then be mailed to:
          iTransact, Inc (attn: CCMA)
          PO Box 999
          314 South 200 West
          Farmington UT 84025-0999