Merchant Pre-Application

Thank you for your interest in First Financial Merchant Services. Please take a moment to complete the questions below so that we may better understand your needs. Upon receipt of your information, an First Financial representative will contact you within 48 hours to complete the application process.

THIS FORM PROVIDES US INFORMATION ONLY. IT IS NOT A CONTRACT FOR SERVICE.


I need to accept credit cards. I have not accepted cards before.
I currently accept credit cards and am interested in transferring my account.

* First Name:
* Last Name:
* Business Name:
Address1:
Address2:
City, State, Zip:
* Phone: 
* Email: 
Product/Service sold:
Promo Code:
Comments: 
Upon receipt of the above information a First Financial associate will contact you directly to complete merchant agreement hard copy, including full disclosure and explain program details . Thank you.
    



Affiliate:
LinkID:



Agent email: bmartin.ffusa@comcast.net