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MSC MERCHANT REFERRAL REQUEST
Now earn residual income just for referring merchants directly to Merchant Service Center. Fill out this simple 5- minute merchant information sheet and you will enjoy earning 20% of the revenue generated for as long as that merchant is active with MSC. Receiving ongoing residual income has never been made easier! If you have any questions or concerns please contact us at 1-800-320-0000.
 
Business Information
*Name of Business:  
*Type of Goods or Services Sold:  
 
Contact Information
*Contact Name:  
*Contact Phone Number:    
 Contact Email:  
 Contact Fax Number:  
*Best Contact Time:  
*Best Contact Method:  
 
Merchant Interest: (Check all that apply)




 
Agent Information
*Referring Agent Name & Office:  
*Referring Agent Phone:    
 
 
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   Merchant Service Center is a Registered ISO/MSP of BancorpSouth Tupelo, MS.           *** American Express and Discover require separate approval ***