AMG Merchant Accounts




Please be advised. This is not an actual Merchant Processing Agreement or Application. Hard Copy and Signatures are required for all Merchant Accounts. & other Product Types

Business Name
Address
Address #2
City
State
Zip Code
Phone Number where you can best be contacted
Best time of Day to be contacted		EST
Email Address
Fax Number



Select the reason for contacting AMG Check all that apply		Product Inquiry Newsletter Signup Callback AMG SecurePay Inquiry Partnership / Office Inquiry
What specifically are you looking for with AMG?
If you have spoken to an AMG Representative about an AMG product, who was it?
Does your Business currently accept Credit Cards?
If Yes, what is the name of the processor?
Anticipated Monthly Visa / Mastercard Volume:
Anticipated Average Credit Card Sale [in dollars]:


AMG Product you are interested in:
AMG Product you are interested in:
AMG Product you are interested in:
Comments / Notes:

Please be advised. This is not an actual Merchant Processing Agreement or Application.
Hard Copy and Signatures are required for all Merchant Accounts. & other Product Types

AMG Worldwide is an agent for Advanced Merchant Group, who is a registered ISO / MSP of BancorpSouth Bank, Tupelo, MS. 38801
American Express® and Discover® require separate approval
Copyright © 2008 Advanced Merchant Group. All rights reserved.