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Ecommerce
Integrations
Security
FAQs
Get Started
Contact
Login
Get
Started
Please use the form below to get started with PayHarmony. If you have general questions, please
Contact Us
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Personal Information
First Name
*
Last Name
*
Phone
*
Home Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
*
Enter Email
Confirm Email
Please tell us about the services you are interested in.*
*
Point of Sale
B2B
High risk
Web design, SEO, marketing
Ecommerce
Mobile
ACH
Fraud prevention
Other
Tell us about what other solutions and services you are interested in?
*
Business Information
Legal Business Name
*
Business Type
*
Select a business type
Brick and Mortar
Ecommerce
Brick and Mortar + Ecommerce
MOTO (Phone Orders)
MOTO + Brick and Mortar
MOTO + Ecommerce
MOTO + Brick and Mortar + Ecommerce
Business Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
EIN Number
*
Website URL (if applicable)
Are you operating under a DBA?
*
Yes
No
DBA Information
DBA Business Name (if applicable)*
*
Does your DBA have a different address?
*
Yes
No
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Payment Processing Information
Do you currently accept credit cards?
*
Yes
No
Do you currently accept checks?
*
Yes
No
Average sale amount?
*
Estimated amount of a high ticket item?
*
What do you sell?
*
Do you outsource any part of your ?
*
Yes
No
Tell us what parts you outsource and how.
*
Other Information
How did you hear about PayHarmony?
*
Questions / Comments
Please tell us any other relevant information, questions, comments, etc..
Phone
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