INTELLIGENT RATE APPLICATION

INSTITUTION INFORMATION

Enter the contact person's name, phone number, and email address. This contact information is specifically for the contact person at the business who is responsible for credit and debit card transactions.

POINT OF CONTACT

The pricing information is fixed. No action required for this section.

SOLUTION PRICING

Select the option and quantity for CARDX TERMINAL if you want to use a physical machine to process transactions, such as a VeriFone VX520.

PAYMENT TYPES ACCEPTED

Select VIRTUAL TERMINAL if you want to process transactions through a web interface. 

CARD PAYMENT VOLUME

Select HOSTED PAYMENT PAGE if you want your customers to make payments on your website or through a link.

EQUIPMENT AND DEVELOPMENT

Sign and date this section only if you selected the CARDX TERMINAL option in the previous section, otherwise leave it blank.

BANKING INFORMATION

SDSA

NOTES (OPTIONAL)

SIGNATURE

Sign and date this section acknowledging that you are agree to the terms and conditions of CardX, our Zero Cost Credit partner.