Fax this page to 801-578-9019 today!

The consultants at IntelliPay are experts at setting up municipal merchant accounts and they understand the Internet. They are an invaluable resource for members of the NAC, and we are glad to bring their expertise to the table. They will make it easy for you to establish your merchant accounts, both at City Hall and on the Internet.  Fill out this information, fax it to them, and expect a call!

Give us a brief snapshot of you and your community.

Your Community Name and State:_____________________________________

Population and Year Founded (if known):________________________________

Your Name and Title:________________________________________________

Your Telephone and Fax Number:______________________________________

Your Email Address:_________________________________________________

Best time to call (PST / MST / CST / EST):______________________________

One last question for you …

Does your community have a website?   Yes ______  No ______

Are you planning to get one?   Yes ______  No ______

In a hurry? Call IntelliPay toll free at 800-487-4226 and ask for ext. 123