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CheckGateway, LLC guarantees the lowest pricing available and the best service in the industry. Once we recieve this form, firm pricing can be determined. You will get low transaction fees, low return fees, low monthly fees, low chargeback fees and outstanding customer service that all ACH processors strive for. We are your source for ACH.

General Business Information (Required)
Business Name   DBA
Address   City   State  
Zip  
Phone Number   Fax Number  
Email Address  
Website (optional)


Principal / Individual 1 (Required)
Name   Title  
Address  
City   State  
Zip  


Other Business Information (Required)
Maximum Single Transaction Amount  
Maximum Daily Dollar Amount  
Maximum Daily Number of Transactions  

Year Established

 

Type of Incorporation  


Describe specific products or services the company offers for which the ACH services will be used. (3000 char. max)  
Remaining Characters: 3000

Type of Business - Check ALL that apply.


Have you accepted ACH payments before?

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