TransNational Bank Card

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Name of Business:
Contact Name:
Title:
Day Time Phone:
Mobile Phone:
Business Address:
City:
State:		Zip Code:
Email Address:
Business Fax:
Products/Services Sold

Type of account:

Does your business accept credit cards?		Yes

If Yes, what is the name of the processor:

Anticipated monthly VISA/MasterCard volume:

Anticipated average credit card sale (in dollars):

Comments:

EXECUTIVE OFFICES: 3701 Algonquin Road • Suite 800 • Rolling Meadows, IL 60008 • tel: (847) 655-1300

Transnational Bankcard Inc. is a registered ISO and MSP of HSBC Bank USA, National Association, Buffalo NY.