Continental Merchants

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Business Name*	Please enter your business name
Contact Name*	Please enter your contact name
Address Line1 *	Please enter your address line1
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City*	Please enter your city
State*	Please enter your state
Zip Code*	Please enter your zip code
Country*	Please enter your country
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Fax Number
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Current or Projected monthly bankcard $ volume
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The hard copy of the merchant processing agreement and application (MPA) must be submitted.

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