Become a Referral Partner
If you offer a product or service that caters to small business owners, bundle it with CHARGE CARD CASH's Cash Advance Program. Use this enhanced product mix to open doors, make your business more attractive, boost customer loyalty and retention.

Developing a new revenue stream has never been so easy.

You make the introductions - CHARGE CARD CASH does the rest.

• Fill out the information below and hit "Submit"
• You will get an immediate email confirming receipt of your information.
• A principal or senior CHARGE CARD CASH representative will contact you within 24 business hours to discuss the Referral Program.
• A contract will be faxed or emailed to you immediately following that conversation.
• Once the contract is returned to us, we will provide you with a welcome package that contains marketing and sales materials, and an easy step-by-step guide to selling our Cash Advance program.
• You refer merchants to us via fax or www.ccscash.com . We handle all the details and provide you with real-time reporting.

CHARGE CARD CASH Reseller Information
Company name :	DBA :
Employer Identification Number:	Legal Entity:   None Corp Sole Prop LLC Partnership
Address:	Suite/Floor:
City:	State:   None AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AE AP AS PR FM GU MH MPPW VI
Zip:	Phone:
Mobile:	fax:
Website :	Email :
Owner/Principle Information
Name:	Title:
Address :	City:
State: None AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AE AP AS PR FM GU MH MP PWVI	Zip:
Phone:	fax:
Email:	SSN#: