AVAILABLE TO U.S. RESIDENTS ONLY
ALL FIELDS MUST BE FILLED IN. NO EXCEPTIONS!
If you do not have a bank account please type in N/A (Not available).

 

Merchant Account Options
Please Choose One:
Your Home Address & General Info
First Name:
Last Name:
Email Address:
Home Address:
City, State, Zip        
County: (not Country - we know you are in the U.S.)
Home Phone:
Business Address & General Info
Legal Name of Business:
DBA:
Your BUSINESS Address:
City, State & Zip of Your Business:        
County: (not Country - we know you are in the U.S.)
Business Phone:
Best Time To Call:
Is your business product or service order based?:  Product  Service
If Product please specify:
Type of Ownership:
Web site (URL):
Banking Information
Bank Name:
Account Number:
Bank Phone Number:
Applicant Information
Self-Rate Your Credit
Applicant's SSN#
Driver's License Number
Date of Birth: mm/dd/yy
Would you like to participate in our referral program? Yes
No
Please type any comments here
Fill out the above form and hit the submit button and it will be automatically sent to us via email. Or if you prefer you can print out this page and fax it or "snail mail" it to us.

FAX 24 Hours: fax 800-560-0374

Snail Mail:
Results Business Solutions
Box 3215
Mooresville, NC  28117

You may also call 704-664-6096, leave your name and phone number and a customer service agent will call back immediately so you may give the above information over the phone Monday through Friday 9am to 5pm c.s.t.

ACT NOW, and you too can be processing credit card orders within 5 to 7 business days!

If you submit using the above form, a representative will call you back within 24 hours, unless you submit the form on a Saturday. Saturday submissions are answered on Monday.