To have an expert contact you with more information or apply for a merchant account online, please fill out this form.

Remember that with FDIS you get:

  • COMPLETE PACKAGES FROM $47.50*
  • 24 HR. ONLINE TECH SUPPORT
  • FREE* MERCHANT NUMBER
  • FREE* ONLINE E-CHECK SERVICE SETUP
  • FREE* INSTALLATION
* This offer is being made by THE ANSAR
  GROUP, INC. Restrictions apply. Please
  call for details.

First Data Independent Sales - WNY
2288 Main St.
Buffalo, NY 14214

Business Name:
Owner/Officer:
Address:

City, State, ZIP:

Phone:
Fax:
E-mail:
New or Existing: New Existing
Business Type:
Business Location:
Nature of Business:
How do you Market Your Business?
Describe Products Sold:
Are you interested in Credit Card Processing For: Internet Commerce
Store Front
Both
Do You Currently
Accept Credit Cards ?		 Yes No
Current/Previous Credit Card Processor:
Estimated Average Credit Card Transaction:
Estimated Maximum Credit Card Transaction:
Estimated Monthly Card Volume:
Please Rate Your Personal Credit History:
Any Bankruptcies in the Last 3 Years? Yes No
Notes or Comments:
 
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FDIS WNY is an independent agent office of Cardservice International.
Cardservice International, doing business as First Data Independent Sales, is a registered
ISO/MSP for Wells Fargo Bank, NA, Walnut Creek, CA, an FDIC insured bank.
American Express® requires separate approval.

First Data Independent Sales - WNY - 2288 Main St. - Buffalo, NY 14214 - Privacy Policy
Telephone: (716) 884-2373 - Fax: (716) 884-2526 - Cell Phone: (716) 583-3482 - Toll-Free: (888) 323-3037
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