Discovery Survey

Please complete the form below to initiate integration/certification process with the gateway.

Requester Info:
Company Name: *

Company you represent
Name: * First Last
Email: *
Phone Number: - ### - ### ####
General Info:
Payment Processing Type: *
Payment Cards (Realtime) ACH (Realtime) Payment Cards (Batch) ACH (Batch)
Please select what types of payment processing you need to support.
Currencies: *
USD CAD AUD EUR Other Other
Card Industry Types: *
Retail/Store Front eCommerce/Internet Mail Order/MOTO Restaurant
What type of payment card industries do you need to support?
Authentication Type:

Authentication Type: username/password certificate

How would you like to authenticate into the API?
Application Type: *

Application Type: Web Desktop
Which features do you want to support?

Dynamic Descriptor - support for dynamic soft descriptor on payment card and ACH transactions.

HPP (CNP) - hosted payment page with no card presence support.

HPP (unencrypted reader) - hosted payment page with card presence support using unecrypted reader.

HPP (encrypted reader) - hosted payment page with card presence support using encrypted reader.

Tokenization - usage of permanent tokens to replace account numbers.

Proxynization - usage of temporary tokens to replace account numbers on self-hosted payment pages.

What is your timeline for development, testing, and going live?
Additional Notes:

Any additional information you would like us to have
Terminals Integration
Type of Terminal Integration:
Gateway Integration Terminal Integration Cloud Integration
What type of terminal integration do you choose?
Terminal Models:
iCT250 iSC250 iSC480 iPP350 iWL250 iCT220 Other Other
Technical Contact Info:

Contact information of the person responsible for the integration process.
Name: * First Last
Email: *
Phone Number: - ### - ### ####
Business Contact Info:

Contact information of the person in charge of business relationships.
Name: First Last
Email:
Phone: - ### - ### ####
Integration Support and Go Live Requirements
Integrators are provided with technical support Monday through Friday from 06:00am to 03:00pm EST. *
I understand and accept.
Three business days prior notice is required to implement any integration project into production environment. *
I understand and accept.
If raw card data is included into batch files for processing, batch files must be uploaded to /invault folder on the FTP. *
I accept and agree.
Support Email: