Referral Partner Application

The HMS Partner Program

Contact us today to start earning residual income as an HMS partner. Let’s work together to develop solutions that increase customer loyalty
and earn money for your business.

Partner Application

1Your Information

2Referred Business Information

3Submit

Your Company Name (if applicable)
This field is hidden when viewing the form
Lead Source*
Your Name*
First Last
Your Phone*
Your Email*
What product or service did you pitch?

Referred Company Name
Referred Business Contact Name*
First Last
Referred Business Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Referred Business Phone*
Referred Business Email*
Interested Services
- Payment Processing
- Point of Sale
- Business Financing
- Business Tools
Has referred business previously taken credit cards?
- Yes
- No
Does referred business currently accept credit cards?
- Yes
- No

Referral Partner Application

The HMS Partner Program

Partner Application

Get Your FREE Merchant Services Account Review and Quote!

Feel free to Call Us @ 877-517-HOST (4678) to talk to our payments expert or fill out our form below and our team will be in touch shortly.

Get Started Now

Or Call us!

877-517-HOST (4678)