Select Country UNITED STATES AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FAROE ISLANDS FIJI FINLAND FRANCE GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA, DEMOCRATIC KOREA, REPUBLIC KUWAIT KYRGYZSTAN LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR R?UNION ROMANIA RUSSIAN FEDERATION RWANDA SAMOA SAN MARINO SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN TAJIKISTAN TANZANIA THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TUVALU UGANDA UKRAINE UAE UNITED KINGDOM UNITED STATES URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE My country is not listed

Select Business Type Adult Sites or Products Attorneys/Legal Services Auto Rental Bail Bondsmen Shopping Clubs/Wholesale Clubs Casinos/Gaming/Sportsbook/Lotteries Cellular Phones & Beepers Check Cashing Services Coin Shops Collection Agencies Computer Store Contractors Detective Services Door-to-Door Sales Downloading of Software Escort Services/Massage Parlors Fireworks Stores General Warehouse/Storage Gravestone/Monuments Gun Shop Hair Restoration Services High Volume/High Ticket Home/Apartment Operated Business Horoscope/Fortune Tellers Industrial Supplies Infomercials Insurance Products Investment Opportunities Jewelry Sales/Repair Kiosks Freezer Mortgage Services/Securities Sales Multi-level Marketing Lounges Telemarketing/Phone Solicitations Pawn Shops Pharmaceuticals/Vitamins Educational Home and Auto Taxis/Limousines Telecommunications Equipment Sales Ticket Sales Time Share Sales Travel Used Auto Sales Water Purifiers Weight Loss Centers OTHER - Please list below

Select Amount Under $5,000 $5,000 - $10,000 $10,000 - $25,000 $25,000 - $50,000 $50,000 - $100,000 $100,000 - $500,000 $500,000 +

Select Yes No

Select reason New Business Need multi-currency account TMF (violation of merchant agreement) Low Credit Score Capped Volume High Chargebacks Want lower rates

Select method Internet MOTO(mail order/telephone) Manually Swiped Wireless Terminal