Alpha Commerce - Applying for a Merchant Account

Establish a new merchant account to process credit card orders manually.
Note: Merchant accounts can be issued through banking institutions only. Alpha Commerce has teamed with Electronic Clearing House, Inc to provide flexible, Internet ready, merchant accounts. Please complete the pre-screen information below to start the merchant account application process. You will be contacted directly regarding eligibility to apply for a merchant account.

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Business Information (Required fields are in yellow.)
Legal Business Name:
"Doing Business As" Name:
Phone Number: (area code first)
Fax Number: (area code first)
Email Address: (required for ECHONLINE)
Street Address :
Mailing Address (line2):
City: State,Zip:	,
Type Of Business:
Products Sold:	(Please be specific; e.g. shoes, shirts, activewear...)
Contact Person's First Name:	Mr. Ms.
Last Name: