Are You a High-Risk Merchant?
Tell us about yourself and we will get back to you as soon as possible!
Business Owner Name
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Business Name
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Email
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Phone Number
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Please enter a valid phone number.
What type of business do you operate?
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Please Select
CBD or cannabis-related business
Online gambling or gaming
Firearms or ammunition sales
Subscription-based services
Nutraceuticals or supplements
High-ticket sales (travel, coaching, etc.)
Other
Have you previously been declined for a merchant account?
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Please Select
Yes, due to high chargebacks
Yes, due to my industry classification
Yes, but I’m not sure why
No, I haven’t applied before
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What is your estimated monthly sales volume?
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Please Select
Under $10,000
$10,000 - $50,000
$50,000 - $100,000
$100,000 - $500,000
Over $500,000
Do you accept international transactions?
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Please Select
Yes, I process international sales regularly
Yes, but only occasionally
No, I only sell within the U.S.
Do you need recurring billing or subscription payment processing?
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Please Select
Yes, I need subscription-based billing
No, I only process one-time transactions
Not sure, I’d like more information
Are you looking for chargeback prevention and fraud protection tools?
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Please Select
Yes, I need advanced chargeback and fraud prevention tools
Yes, but only basic fraud protection is needed
No, I manage chargebacks and fraud separately
No, I already have prevention and protection tools
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What types of payments do you accept?
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Credit cards
Debit cards
Mobile payments (Apple Pay, Google Pay, etc.)
Cash transactions
Cryptocurrency payments
ACH payments and eChecks
Buy Now, Pay Later (BNPL) services (e.g., Afterpay, Klarna)
Do you currently have a payment processor, and if so why are you looking to switch?
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Please Select
Yes, but I’m experiencing high processing fees
Yes, but I’ve had too many chargebacks
Yes, but I need better customer support
Yes, but making the switch for other reasons
No, I don’t currently have a payment processor
How soon do you need your high-risk merchant account approved?
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Please Select
Immediately (within the next week)
Within the next month
Within 3 months
Sometime this year
Just exploring options for now
When would you like a demo?
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Please Select
As soon as possible
Within the next week
Within the next month
Not sure yet, I’d like more information first
Please verify that you are human
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Submit
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