Chargeback Representment Application

Chargeback Services

Monthly chargeback volume?*

Do you need Chargeback management?*

Do you need Ethoca alerts?*

Do you need Verifi alerts?*

What is the status of your MIDs?*

Are you currently using prevention alerts?*

Sales model?*

Product type?*

Do you accept AMEX?*

Account Configuration

Contact Email*

Users*

*Please provide the full names and emails of the people who will access the reporting portal. (Ex Jon Doa - [email protected])

Management Level*

*Will the services be handled via an integration with our technology (Managed) or manually by you (Self managed)?

CRM

Timezone

Comments or questions?

Want to speak with a representative?

Call 888-927-4026

5 Minute Application