Credit Card Processing Form

E-Commerce
Using a Gateway for
real-time online order
processing

 

Ideal for mail order and Internet business owners that have a website and want to accept customer credit card payments on and off line. You can have payments processed over the Internet using a Gateway. Immediately shows if the card is approved or declined. Allows you to accept payment and process real-time transactions. Your website visitors can order products and pay for them with a credit card, which is processed online. Also includes an online terminal to manually enter orders. No need to load, install or update software because all transactions are done over the Internet. Funds are directly deposited into your bank account within 48 hrs. Reporting capabilities to keep track of your sales volume by the week, month, year. Live technical support, and the highest degree of security -SSL encryption. Automatic email messages are sent to you and your customer confirming each transaction. The entire process is simple and convenient to use. One-time setup fee is non-refundable. Can stop monthly access fee at any time.

 

Processing Option: Merchant Account & E-Commerce Gateway 
One-time Setup Cost: $195 
Gateway Access Fee: $15 
,
Full Name _________________________________________
Street Address _____________________________________
City ______________________________________________
State / Zip _________________________________________
Phone ____________________________________________
Email ____________________________________________
Credit Card Number _______________________________
Exp. Date ________________________________________
Signature ________________________________________
Visa MasterCard Discover AmEx Check MoneyOrder

Fax to: 1-732-833-7742 or mail to:
WWM Attn: Merchant Account Department
2275 W County Line Rd, Ste 6
Jackson, NJ 08527-2354

* Return this form with the merchant application