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Request for Support

Please provide the following information about your business needs to help us serve you better. This information will enable us to route your request to the appropriate person. You should receive a response within one business day.


Note:
All fields required except where noted.
First & Last Name:

Company Name:

Merchant Number:

Optional
E-Mail:

Phone Number:


How do you process transactions?

Contact Me Via:

Best Time to Contact:

What is the subject of your
request?

 General Questions

 Internet Payment Gateway Issues

 Retail Swipe Terminal Issues

 Other

Additional comments or
questions:

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All rights reserved.

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Applied Merchant Systems is a registered ISO and MSP of HSBC Bank USA, National
Association, Buffalo NY and Wells Fargo Bank, N.A. Walnut Creek, CA.

American Express® and Discover® require separate approval.