Merchant Inquiry Form

Fill out the form and submit to Global Payments for Merchant Account to be used with Hypercom TPI Software. If you need a gateway solution or ACH the rep from Global will discuss the options with you. To call the direct line, please dial 443-394-2222(Vinod) or 443-394-2258(Buddy)

Step One - Merchant Information Required form fields are marked with ( * )

* DBA (Doing Business As) Name
* Best Contact Phone Number
* Legal Name of Business
* Company Contact First Name
* Company Contact Last Name
* Title or Relationship
* E-mail Address
* Merchant Website URL
* Business Phone (e.g., 1112223333)
* Business Fax
* Business Address
* Business City
* Business State
* Business ZIP/Postal Code
* Do you wish to process:	Visa^®/MasterCard^®/Discover^® American Express^®

Step Two - Owner Information
* Principal's First Name
* Principal's Last Name
* Home Phone (e.g., 1112223333)
* Ownership %
* Home Address Click if same as business address
* Home City
* Home State/Country
* Home Zip Code

Step Three - Business Information
* Describe Products Sold (e.g., I sell toys)
* Business Ownership Type
* Home Business?	Yes No
* Average Monthly Volume	$
* Average Sale/Ticket Amount	$
* Business Type
* Years or Months in Business
* Please, If You Remember, Where Did You Hear About Us?
* Please Feel Free to Send Us Any Comments You May Have.