There is no fee or obligation to determine whether or not you or your customer will prequalify for a merchant account.
To request your merchant account, please fill out the following fields and click "submit". You will be contacted shortly by a merchant account representative. Clickincome, Inc. provides merchant services through an exclusive partnership with Aria Financial Corp.® and Cardservice International®.
*These items are REQUIRED

Personal Information
*First Name
*Last Name
*Date
*Home Address:
*City: *State: *ZIP/Postal Code:

*Home Phone:Home Fax:
E-mail:

*How Long at
this Address:		*Do you own or
rent your home?		OwnRent
*Date Of BirthSocial Security Number

Business Information
Contact Name:
Business Tax I.D.
(or SSN for Sole Proprietorship)		Business Open Date:
Legal Business Name: Business Name / DBA name
Type of Business:Sole Proprietorship   Partnership   Corporation   Other

*Business Address:
*City: *State: *ZIP/Postal code:

*Phone:Fax:
Business E-mail:
Do you have an existing web site?Yes   No
If you have a website enter the address here:

*Expected monthly card sales:
*Average amount per sale: *Have you previously owned a merchant account?Yes   No
*Sales Method: *Types of products sold:

Affiliate Information
Affiliate Name: E-mail address:
Affiliate ID:

    

Privacy Policy
Clickincome, Inc. provides merchant services through an exclusive partnership with Aria Financial Corp.® and Cardservice International®.

   

CARDSERVICE INTERNATIONAL IS A REGISTERED SERVICE PROVIDER FOR THE FOLLOWING FDIC-INSURED BANKS: FIRST FINANCIAL BANK, ATLANTA, GA; HUMBOLDT BANK, EUREKA, CA; REDDING BANK OF COMMERCE, REDDING, CA; TEHAMA BANK, RED BLUFF, CA. DEBIT SPONSOR: CARROLLTON BANK, BALTIMORE, MD.

AMERICAN EXPRESS AND DISCOVER CARD REQUIRE SEPARATE APPROVAL.