Global Gateway Store Number*    
* Sent to you via email after your account is activated

Price for Level I Package    $

Price for Level II Package   $

Price for Premier Package   $

Shipping and Handling        $
per Package

Check here if you want to REQUIRE your customer to print, sign & mail (or fax) a written authorization to you for each sale: (optional)  

Your Return Policy: 
(Required, even if no returns or refunds allowed. Limit 120 characters.)
       

By Clicking "Submit", I agree that if I use this feature, I use it at my own risk; I agree that use of this feature comes with no warranty of any kind; I agree that I will not hold FDIS Texas, Cardservice International, their affiliates, agents, employees or independent contractors liable for any consequences of my use of this feature. I must enter a return policy, even if no returns or refunds are allowed; I am solely responsible for the results of that policy, including but not limited to charge-backs or disputes.