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Fill out the form below and a representative will be in contact within 1 business day of submission.

Contact Information

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You must enter a DBA name.
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Business Address

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Surcharge Information

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You must select a surcharge type.
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You must select a channel.
By clicking, “I Agree” Merchant acknowledges that they have read the rules associated with Surcharging and agrees to accept responsibility for being in compliance with said rules.