Disclosure

Submit my Application

The information provided in this application shall not be shared to anyone else and is kept confidential. I acknowledge that I am the business owner or authorized officer of the business and the information is true and correct. I agree that Credit Card Industry accepts no liability for the consenquences arising out of erroneous or incomplete information supplied by me.

I agree that the information herein are true and correct

YES

Equipment Communication Method

DialInternet/IP