NOVA Pre-Qualification

Just complete this form. Click on Submit when ready to send. The form will be immediately forwarded to a NOVA Information Systems' account specialist, who will contact you within 3 business days.

If you have any problems with NOVA not responding to you in a timely fashion, please call our NOVA representative, Morna Kennedy, directly at 904-367-5405 for prompt satisfaction.

Note: Merchant service organizations are extremely large. This form forwards your contact info immediately to the correct people within this organization. There is no obligation for doing so. Not filling out this form and phoning the merchant directly may actually delay things.

Required fields are in red.

Is your bank and business in the United States?

Please note: Currently, NOVA Information Systems requires that the bank and business be operating in the USA. Canadian customers, please click here. We apologize to our other foreign customers, but please be aware that we are looking forward to offering more global solutions later.

Your name:

Email address:

Telephone:

Fax number:

Business name:
(Enter 'N/A' if not applicable)

Mailing address:

Merchant acct. application:

What credit cards would you like to accept?

Please check all that apply.
Note that the credit cards below are the only ones that work with our kiosk software and Wi-Fi firmware at this time.
Visa/MasterCard |American Express | Discover | Diners

Projected annual Visa/MasterCard sales volume (if available):

Projected average Visa/MasterCard sale (if available):

Thank you for your interest in acquiring a merchant account from
NOVA Information Systems.

NOVA Information Systems is compatible with the i-table!® eCommerce Gateway server.

Is your bank and business in the United States?

Please note: Currently, NOVA Information Systems requires that the bank and business be operating in the USA. Canadian customers, please click here. We apologize to our other foreign customers, but please be aware that we are looking forward to offering more global solutions later.

Your name:

Email address:

Telephone:

Fax number:

Mailing address:

Merchant acct. application:

What credit cards would you like to accept?

Please check all that apply.
Note that the credit cards below are the only ones that work with our kiosk software and Wi-Fi firmware at this time.
Visa/MasterCard |American Express | Discover | Diners

Projected annual Visa/MasterCard sales volume (if available):

Projected average Visa/MasterCard sale (if available):

Any comments?

Thank you for your interest in acquiring a merchant account from NOVA Information Systems.