FD200 terminal with check being slid through for processingFD300 being used with FD200 terminalSetting Up A Merchant Account To Enable
Credit Card Processing At Your Business

If you have any questions, CALL (800) 838-9598 Ext 102 anytime during the process

Contact for Information

CardConnect Fairmed Merchant Agreement Application - Tiered (November-2015)
(Click to download PDF)

Completing the CardConnect Fairmed Merchant Agreement (merchant account application)

Completing the application is a four (4) step process:

  1. Download the 2011 CardConnect Fairmed merchant agreement application (PDF). This PDF has three parts:
    • Cover letter
    • Merchant Processing Application and Agreement (MPA) form
    • Program terms and conditions

  2. Complete the four page Merchant Processing Application and Agreement (MPA) using your computer and then print all four pages. (See Merchant Application Notes below for details)

  3. On a blank check with the same business name and account data that you listed in Section 3 and where you wish the deposits to be made, print VOID on the check.

    NOTE: Do not cover up the numbers at the bottom of the check.

    Example: Image of a voided check and pointers to routing and account numbers

  4. Fax the entire application (four pages) and the voided check to: (714) 838-8032 for initial review. We will contact you to discuss and complete the remaining sections. Your application will then be sent to FISERV underwriting.

    Alternately, you can mail the application and voided check to:

         CardConnect Fairmed/Fairmed, Inc.
         23151 Alcalde Dr. Suite C-10
         Laguna Hills, CA 92653

Merchant Application Notes:

Online merchant accounts that process less than $10,000/month may be approved within 12 – 48 hours. Accounts that process over $100,000/month may require further follow-up.

Payment Card Industry Data Security Standard (PCI DSS) Compliance Program

Protect your business and your customers from rising security threats today! The Payment Card Industry Data Security Standard (PCI DSS) is an information security standard for organizations that handle cardholder information for major debit, credit, prepaid,  e-purse, ATM, and POS cards.

Defined by the Payment Card Industry Security Standards Council, the standard was created to increase controls around cardholder data to reduce credit card fraud via its exposure. Validation of compliance is done annually - by an external Qualified Security Assessor (QSA) for organisations handling large volumes of transactions, or by Self-Assessment Questionnaire (SAQ) for companies handling smaller volumes.

The current version of the standard is version 2.0, released on 26 October 2010. PCI DSS version 2.0 must be adopted by all organisations with payment card data by 1 January 2011, and from 1 January 2012 all assessments must be against version 2.0 of the standard.

Note that effective Nov 7, 2011, the penalty fee for PCI non-compliance was raised from $19.95 to $24.95/mo.


Version 2.0 has 12 requirements:

  1. Install and maintain a firewall configuration to protect cardholder data
  2. Do not use vendor-supplied defaults for system passwords and other security parameters
  3. Protect stored cardholder data
  4. Encrypt transmission of cardholder data across open, public networks
  5. Use and regularly update anti-virus software on all systems commonly affected by malware
  6. Develop and maintain secure systems and applications
  7. Restrict access to cardholder data by business need-to-know
  8. Assign a unique ID to each person with computer access
  9. Restrict physical access to cardholder data
  10. Track and monitor all access to network resources and cardholder data
  11. Regularly test security systems and processes
  12. Maintain a policy that addresses information security

NOTE: There are additional guidelines for wireless environments.

PCI DSS was developed and is maintained and updated by the PCI Data Security Council. All the current information and documents are available from their website www.pcisecuritystandards.org


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