BCMS: Merchant Services Contact Form

Please fill out this secure form and give us as much information as possible. We will be more than happy to assist you with a Free Rate Quote or any questions you might have. 877.861.8008

Name:

Email:

Phone:

Business Name :

Currently Process Credit Cards:

Type Of Account:

Anticipated VISA/MASTERCARD Volume:

Average Ticket:

Comments/ Questions

All merchants must submit a formal application in order to obtain a merchant account.

Banc Certified Merchant Services is a registered service provider for the following FDIC-insured banks: Bank of America KY, US Bank Montgomery, Al.