Native Nova Processor Merchant Account Information Request Form:
We have negotiated special discounted rates for .netCHARGE customers through the Corporate Web Solutions Association. You may obtain a merchant account with special discounted rates through our Association with Nova Information Systems by completing the prequalification form. A sales representative will follow-up with you directly within a business day.  If you would prefer to speak with a NOVA customer service representative directly, please call toll-free 1-800-546-1831.To obtain our special discounted rates, indicate you are calling regarding the Corporate Web Solutions Association.
 
Name:
Business Name:
Email Address:
Telephone:
Fax:
Account to be used for:
Bank in the USA:
Projected Annual Card Sales:
Projected Average Individual Sale Amount:
Comments / Questions: