We’d love to hear from you! Please give us a call or fill out our contact form below:

eCom Merchant Solutions will not give your personal information to any one for any purpose other than creating your merchant account.

Filling out our online application does not bind you to any contract. It simply starts the application process. If you should have any questions, please feel free to contact our office at or toll free at 888.277.3332.

In accordance with Federal Banking regulations, all information is kept strictly confidential.

Business Checking Account Information

Monthly Volume and Average Ticket Information:

Additional Cards/Services Available:

Do you require a deposit?:

American Express:


** I would also like to accept eCheck:

** by checking the above you are only authorizing eCMS to notify the eCheck department of your interest in this feature provided directly by

Personal Information:

Second Principal (If required):

Other Information:

Have You Ever Processed Credit Cards With Another Merchant Services Provider:

Have You Ever Processed Credit Cards With Another Gateway:

Do you have a Retail Location or do you plan to open one or more soon?:

If yes, would you like one of our qualified Retail Representatives to contact you?:

Our retail merchants enjoy the same great service, low set up cost & low rates and fees!