Submit the specs form below and place your order by credit card to activate your AuthorizeNet real time credit card processing account. 
Note: A U.S. Merchant Credit Card Account through a U.S. merchant bank is required to use AuthorizeNet real time credit card processing service.
If you don't already have one, See our U.S. Merchant Credit Card Accounts.
AuthorizeNet is compatible with these Card Processor Networks: FDC (First Data) Nashville Platform, Nova,
Paymentech, Envoy, Vital, VisaNet.
AuthorizeNet: $199 setup + $20 monthly gateway fee + $0.10/trans. after first 250 trans. in each month (effective 2/5/2000)

1. Payment of $199 setup fee by check or credit card. 
    Purchase Now Online or by phone/fax: 858 689-9999 
   NOTE: To complete your purchase, you must also submit the data form below.

2.   a) Credit Card Processor Network: 
      b) Merchant Credit Card Bank: 

3.  Merchant Account number: 

4.  If your card processor network is First Data, i.e. FDC or FDR: 
             a) MID#: (7 digits)    (you might have to ask First Data to convert to FDC Nashville platform)
             b) TID#: (7 digits)    (you might have to ask First Data to convert to FDC Nashville platform)

5.  If your card processor network is Vital or Visanet: 
           a) Acquirer Bin: (6 digits) 
           b) Agent Bank #: (6 digits) 
           c) Agent Chain #: (6 digits) 
           d) Merch. Category Code: (4 digits) 
           e) Merchant Number: (12 digits) 
           f) Store #: (4 digits) 
           g) Terminal #: (4 digits)

6. If your card processor network is NOVA:
           a) Bank #: (6 digits) 
           b) Terminal ID: (16 digits)

7. If your card processor network is Paymentech:
           a) Client/Bank #: (4 digits) 
           b) Terminal #: (3 digits) 

8.  Your local U.S. Business Checking Account Bank: (for credit card sales deposits) 
                 a) Bank Name: 
                 b) Account #: 
                 c) ABA/Routing #: 

9. Credit Cards currently accepted: MasterCard  ............... Visa ............... Amex 
9. Credit Cards currently accepted: Discover  ................... Enroute .......... Diners Club/Carte Blanche 
9. Credit Cards currently accepted: Other 

10.  a) Merchant Display Name: 
       b)                 Contact Name: 
       c)                 Contact Tel #: 
       d)                 Contact Fax #: 

11.  Street/PO Address: 
                              City:           State:       Zip: 

12. Merchant E-mail for receipts (order notification): 
13. Merchant Business Type: Sole Proprietor ..... Partnership ..... Corporation 
14. Tax ID or Soc Sec #: 
15. Age of Business:  years 
16. Products/Services sold: 

Note: At least one "Yes" response is required for items 17, 18, 19.
17. Recurring Billing: .............
18. Standard Product/Service: (typically delivered within 30 days and without recurring billing)
19. Subscription Sales: ...........

20. a) Owner or Principal of Business: 
      b) Title:                      b) Tax ID or Soc Sec #: 
      c)  Home Address (if other than above): 
                        City:           State:       Zip: 

Upon Submitting this info, you'll be linked to site Main Entrance.