ACH Application - Quick and Easy Approval

Quick and Easy ACH Approval
We understand how frustrating it can be to get approved for ACH processing, especially if you are a small or startup company. Our goal at Impact is to provide all qualified companies with the ability to accept and create ACH transactions, and to get you approved as quickly and painlessly as possible, regardless of your size or situation.

ACH approval is quick and easy through our simple online application. Please fill out this form completely so that we may best serve you.

Note: Businesses in the following industries cannot be accepted: Adult Entertainment, Gambling, Get Rich Quick membership fees, Outbound Telemarketing.

Or, if you prefer to apply by phone, please call:
ACH Product Info - 801-295-5185 (Monday - Friday 8:00 am to 5:00 pm MST)
Phone Applications - 801-295-5185 (Monday - Friday 8:00 am to 5:00 pm MST)

ACH Application

* Indicates required fields

Company

Title

* First Name MI		* Last Name

* E-mail address
Yes, send me additional information and offers about ACH by e-mail.

* Address

* City	* State

* Zip code 4-digit ext. -

* Daytime phone number () -		Ext.

Fax Number () -


* Business Type: Please describe specific product or services your company offers for which our ACH product would be used:

Does your company accept: Mail Orders Telephone Orders

If yes, what percentage? % Mail Orders % Telephone Orders

* Business type: New Startup (welcomed!) Existing business

* Average transaction amount: $

* Expected number of transactions: (transactions per month)