In order to better serve you please complete as much information as possible in the following form and hit the "submit" button. One of our experienced professionals will reply to you within 24 hours with the right solution for you.

Where did you hear about us?
Common Information
Your Full Name:
Your E-mail Address:
Your Web Site Address (URL):
Business Owner Information
Are You the owner of the Business?
Yes No
What Country does the owner live in?
Is your WWW host located in the U.S.?
Yes No
Do you already own a U.S. Corporation?
Yes No
Do you already have a U.S. Corporate Bank Account?
Yes No
Have you ever had a U.S. Merchant Account?
Yes No
How is owner's Credit Rating in U.S.?
How is owner's Credit Rating at home country?
Business Information
What do you sell?
How do you sell it?
How much is your average sale amount?
U.S. Dollars
What is your expected monthly volume?
In 6 months
Who is your target marked (e.g. Americans)?
Where do orders come from (%)?
Card Present Mail Order
Phone Order Internet
Years in Business?
New is OK
Contact Information
Name (on Mailing Label):
Street Address:
ZIP/Postal Code:
Phone Number (Including Country Code):
Fax Number (Including Country Code):
Any further comments or questions
Hit "submit" button when finished:


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Last Updated July 31, 2002 by K'shin