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Orion Payment Systems

Merchant Application Information

Orion Payment Systems
14340 Torrey Chase Blvd,
Houston, Texas 716014

Phone : 877-941-6500
Fax: 877-967-4661
www.orionps.com


Date : 3/9/2010
Business InformationMerchant's Legal Name
Merchants DBA NameMerchant's Legal Name
Physical AddressLegal Address
DBA Telephone#DBA Telephone#
DBA Fax#DBA Fax#
Contact Name at this AddressContact Name at this Address
Email AddressEmail Address
Your Business Profile 
Annual Visa/MasterCard SalesDo you accept Transactions before customer receives the product?
Average TicketBank Reference
Type of OwnershipBank Reference Telephone #
Sales Profile (must equal 100%)Bank Reference Contact Person
Type of Goods/Products SoldTrade Reference
Years in Business (mm/yy)Trade Reference Telephone #
Is Visa Currently Accepted?Trade Reference Contact Person
Is Master Card Currently Accepted?Describe the primary location of the business
Is Discover Currently Accepted?Describe the surrounding area
Is American Express Currently Accepted?Do you own or lease the premises?
Business Website AddressDoes your business use off-site fulfillment, shipping or receiving?
Have you or your business ever declared bankruptcy?Does your business maintain a Supply of inventory for this business?
Merchant Data Storage
Is Cardholder Data Stored?
If yes, where is Data Stored
    
© 2008 Orion Payment Systems. All rights reserved.                      Privacy Statement Orion Payment Systems is a Registered ISO/MSP of HSBC Bank USA, National Association, Buffalo, NY