Reseller Inquiry

Congratulations on taking the first step in partnering with the leader in value added solutions!

Partnering with Paya process:
  • Complete form below and submit
  • Relationship Manager will contact you within 48 hours
  • Agreement and buy rate pricing will be forwarded to you

Contact Information

State*

Current Processing Information (Optional)

# of Merchants activated with Credit Card services monthly

# of Merchants activated with Check and ACH services monthly

# of Merchants activated with Gift and Loyalty services monthly

# of Sales Agents

# of Sales Offices

National Presence?
YesNo

Regional Presence?
YesNo

Information About Your Company Needs (Optional)

Inquiring about
Check and ACH processingGift & Loyalty Card ProcessingBank Card Processing

Additional Questions/Comments (Optional)