NMI

NMI Gateway Secure Form

Complete the form below to set up your merchant account

Merchant Information

Company Contact

The company contact will be the "primary user" on the merchant account. You will receive the welcome email that lets them set up the account for the first time, and it will be the email address that customers see on receipts if the merchant chooses to send these out. This information can be changed at any point in the future.

Banking Information (for Billing)

The following bank information must be entered correctly as the gateway processing fees will be withdrawn from this account. If the information is invalid, the merchant account will be suspended.

Primary Username

Enter a username to log into the gateway account. The username must be between 4 and 32 characters and contain only letters and/or numbers. Email address is also accepted