Help us understand your business by answering the questions below.

By completing this application, I confirm that I am authorized to submit this application and enter into the agreements linked below on behalf of business indicated.

Owner Information
Total of Ownership Percentage cannot exceed 100%
%
Info
The percent ownership stake that this person has in the company listed below.


Complete information on ALL owners with 25% or greater equity ownership in the company listed below must be disclosed on your application per U.S. Treasury Customer Due Diligence Requirements.
Owner 2

In lieu of a Social Security Number, Foreign Persons must provide a Passport Number.
Total of Ownership Percentage cannot exceed 100%
%
Info
The percent ownership stake that this person has in the company listed below.


Complete information on ALL owners with 25% or greater equity ownership in the company listed below must be disclosed on your application per U.S. Treasury Customer Due Diligence Requirements.
Owner 3

In lieu of a Social Security Number, Foreign Persons must provide a Passport Number.
Total of Ownership Percentage cannot exceed 100%
%
Info
The percent ownership stake that this person has in the company listed below.


Complete information on ALL owners with 25% or greater equity ownership in the company listed below must be disclosed on your application per U.S. Treasury Customer Due Diligence Requirements.
Owner 4

In lieu of a Social Security Number, Foreign Persons must provide a Passport Number.
Total of Ownership Percentage cannot exceed 100%
%
Info
The percent ownership stake that this person has in the company listed below.
Business Information
Use Owner Address for Business
Info
The Doing Business As is the name that consumers will see on their credit card bill and is the legal name that refers to your business.
Same As Legal Business Name
Processing Information
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Please select the closest Industry that matches your business.
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Projected monthly credit and/or debit card volume for this account.
Do you Offer Subscriptions:
  • Info
    Subscriptions charge your customers on a fixed schedule. For example, a monthly magazine subscription.
What percentage of subscriptions are:
%
%
%
%
Info
The number of days that it typically takes for you to deliver the product or service, after they are purchased by your customers.
Info
The average transaction amount that you charge customers.
Info
This is important if you have transactions that are much larger than your expected average. If the banks are expecting larger transactions, then they are less likely to flag them as potentially fraudulent.
Info
Check
Note: We accept only U.S. checking accounts. If your checking account is not U.S. based, please pay by Credit Card.

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We are unable to process your request at this time. Please verify your billing information and try again.
Credit Card Billing Address
Use Owner Address    Use Business Address    Use Another Address
By checking each box below and clicking I AGREE, I confirm that I understand and have read each of the linked documents, and the business indicated above agrees to be bound by the terms contained therein:
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Merchant Services Agreement

 
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Please click the check boxes to indicate that you have read and understand the Authorize.Net Payment Gateway Merchant Services Agreement and eCheck.Net Services Agreement before you click I Agree.
Please click the check boxes to indicate that you have read and understand the Authorize.Net Payment Gateway Merchant Services Agreement and Merchant Account Services Agreement before you click I Agree.
 
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Authorize.Net Fees

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The one-time fee charged to establish a payment gateway account.
Setup (Non-Refundable)
$0.00
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The monthly fee charged for a payment gateway account.
Monthly Gateway
$25.00
Info
The fee assessed per batch of settled credit card transactions.
Batch
$0.00
Info
The fee charged by the payment gateway for each credit card transaction processed for the account. The credit card transaction types that the per-transaction fee is charged for include: authorizations, capture, refunds, declines or other related transactions, completed or submitted within the payment gateway.
Credit Card Per Transaction
2.9% + $0.30
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The chargeback fee is the penalty you pay when your customer successfully disputes a charge you make.
Per Chargeback
$25.00
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Fees for receiving payments from buyer with Credit Cards issued outside United States
International Assessment
1.5%
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Fees charged to process authorizations received over Phone
Verbal Authorization
$1.20

Additional Services

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The monthly fee for the ability to process automated recurring billing transactions.
Automated Recurring Billing TM
Free
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The monthly fee for access to Authorize.Net's fraud-fighting tools.
Advanced Fraud Detection Suite TM
Free
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The monthly fee for the ability to create and manage customer subscriptions.
Customer Information Manager
Free
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Industry / Merchant Category Code

Select the Industry / Merchant Category Code which best fits your business