Lets Get Started – Imperial Merchant Services

Merchant Information

Company Name:

External Identifier:

Country:

Address:

Address 2 (Optional):

City:

State:

Zip Code:

Website:

Timezone:

Preferred Language:

Company Contact

The company contact will be the “primary user” on the merchant account. They will receive the welcome email that lets them set up the account for the first time, and it will be the email address that customers see on receipts if the merchant chooses to send these out. This information can be changed at any point in the future.

First Name:

Last Name:

Email Address:

Phone Number:

Fax Number:

Banking Information

The following bank information must be entered correctly as the gateway processing fees will be withdraw from the account. If the information is invalid, the merchant will be suspended and no commissions can be paid.

Account Number:

Routing / ABA Number:

Account Holder Type:

Account Type:

Primary Username

Enter a username that the merchant's primary user will use to log into the gateway account. The username must be between 4 and 32 characters and contain only letters and/or number.

Username: