Merchant Services

Become a Partner

Establish a partnership with the leader in payment processing solutions.

Establish a Partnership with Chase - the world's premier leader in payment processing solutions. In order for us to consider your proposed partnership, we'll need you to complete the form below. Any ideas, proposals, or other information (collectively, "Information") submitted or collected on this form shall be considered non-confidential and non-binding.

Answers to all questions are required except those marked as optional.

Please tell us who you are:

Company Name:

Contact First Name:

Contact Last Name:





Zip/Postal Code:

Telephone Number:

Email Address:

Web Address:

Description of Business:
(Description of products/services sold):

Please give a brief description of your proposed partnership with Chase Paymentech, including how this partnership would benefit Chase Paymentech and/or its merchant base.