978.766.0257
info@firstclassprocessing.com
Testimonials
Products & Services
Payment Acceptance
Credit Card Processing
Cash Discount Program
Point of Sale Systems
Cash Registers
Payment Gateways
Online Shopping Carts
Website Development & Design
Mobile
Reoccurring Billing & ACH
Network Build & Maintenance
Employee Benefits
News
Contact Us
Contact Us
Service Ticket
Apply Now
Apply Now
close
menu
info
35 Village Road, STE 100 Middleton, Ma 01949
info@firstclassprocessing.com
(888) 799-6746
Apply Now
Home
Apply Now
Secure Application
Apply Now
Please enable JavaScript in your browser to complete this form.
Product or Service
*
Website Development / Integration
Point of Sale / Integration
Payment Gateway / Integration
Credit Card Processing
Online Shopping Cart / Integration
Other (Please note in description)
How Did You Hear About Us?
*
Joseph DiPietro
Paul Tetrev
Dennis Card
Dale Boch
Franc Kandelieri
Nichole Maroun
David Eckman
Stan Parks
John Magulas
Chuck Saldi
Mark Richardson
Chamber of Commerce
Customer Referral
Bluebird Technology
RWCU
Google
Facebook
Instagram
Linkedin
Wicked Bites
Bay State / NS/ Boston Eats
Other
Credit Card Number
*
Expiration Date
*
CVV
*
Business Legal Name
*
DBA Name (If Applicable)
DBA Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Business Legal Start Date
*
Business Legal Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
Email
*
Email
Confirm Email
Website / URL
Federal ID Number
*
Type of Ownership
*
Sole Proprietorship
Corporation
Non-Profit
Municipality
Other
Product or Service Your Business Provides
Company Location
*
Mall
Corporate Office
Home Office
Shopping Area
Commerical Area
Approximate Square Footage of Business
*
0-250 square feet
250-500 square feet
500-1000 square feet
1000-1500 square feet
2000+ square feet
Owner / Officer Name
*
First
Last
Owner / Officer Title
*
CEO
President
Vice President
Corporate Officer
Partner
Manager
Secretary
Owner / Officer Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Company Voided Check
Click or drag a file to this area to upload.
Owner / Officer Birthdate
*
Owner / Officer Social Security Number
*
Owner / Officer Drivers License
Click or drag a file to this area to upload.
Additional Notes
Percentage of Cards Swiped Transactions
*
25%
50%
75%
100%
Percentage of Keyed (typed in) Transactions
*
25%
50%
75%
100%
*Percentage of Online (Ecommerce) Transactions
*
25%
50%
75%
100%
Estimated Amount of Credit Card Sales (Monthly):
*
Average Credit Card Sale Amount
*
Estimated Maximum Credit Card Sale Amount
*
Auto Batch Time
*
*I agree to the terms and conditions. By Accepting the terms and conditions & Pressing Submit you are providing a Digital Signature.
*
Yes
Submit