Merchant Account Services

Please fill out this form and one of our agents will be in contact with you shortly.  Usually within 24 hours of regular business hours.


Merchant Legal Name:
Merchant DBA Name:
Address:
City:
State:
County:
Zip:
Fax:
Phone:
E-Mail Address:
Internet Address:
Business Type:
Industry:
Average Ticket $
Monthly Volume:



East Coast:
Aliant Payment Systems
2929 E. Commercial Blvd Suite 208 | Ft. Lauderdale FL 33308
Phone: (954) 492-2530 | Fax: (954) 492-2560 | Toll Free: 866-502-4831 | E-mail: sales@aliantpayments.com

Payments

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