Merchant payment solutions for store-fronts, professional services, mobile workers, B2B and eCommerce.

First Name:	Last Name:	Telephone Number:	State:
Email:	Email Confimation:	Business Name:	Business Description:
Currently Accepting Cards?	Monthly Card Sales Estimate:	Average Card Sale:

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The First Data Independent Sales agent program is operated by Cardservice International, Inc. Cardservice International, doing business as First Data Independent Sales (FDIS), is a registered ISO/MSP for Wells Fargo Bank, NA, Walnut Creek, CA an FDIC insured bank. American Express® requires separate approval.

FDIS Agent #33410 is an Independent Agent Office of Cardservice International