Name *

First Name

Last Name

Mobile Phone *

(###)

###

####

By continuing you agree to the Privacy Policy and Terms of Use. You will be prompted to our secure and quick online application to expedite the process of signing up.

By checking this box, you consent to receive text messages at the phone number provided. You understand automated marketing messages will not be more than 2/month and that messages from VIP Account Specialist may vary based on the circumstances. You verify that you are at least 18 years of age and that the phone number provided is your own. You understand that you do not need to give consent to qualify for an a merchant account. You understand that standard message and data rates may apply, and that you can text STOP to end all SMS messages.