Merchant Credit Card Processing Request Form

Belco's Online Banking

Merchant Credit Card Processing Request Form

Would you like more information regarding Belco’s Merchant Credit Card Processing? Please complete the information below and a representative will contact you.

Company Name or DBA(Required)

Name

Contact Person(Required)

First Last

Phone(Required)

Email(Required)

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Business Type

Are you currently a Belco business member?(Required)

Do you currently provide credit card processing?(Required)

Preferred Contact Method(Required)

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Name

This field is for validation purposes and should be left unchanged.

Belco Community Credit Union

Belco's Online Banking

Belco's Online Banking

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Merchant Credit Card Processing Request Form