is_valid){ sendEmail(); } else { # set CAPTCHA the error code so that we can display it $error = $resp->error; $focusscript = ""; #focus script canrequired be echoed here, must be echoed at end of document } } function gpv($val){ ##get post value if (isset($_POST["$val"])){ return htmlentities($_POST["$val"]); } else { return ""; } } function sendEmail(){ ##################### #Email the form contents $ip = $_SERVER['REMOTE_ADDR']; $ip2l = new ip2location_lite(); $ip2l->setKey('e13e29bc48b73972a19f58ed0d5711fa7d0972a1ac429576c08870af9d8a6180'); $loc = $ip2l->getCity($ip); $lat = $loc['latitude']; $long = $loc['longitude']; $city = $loc['cityName']; $state = $loc['regionName']; $country = $loc['countryName']; $mapsrc = "

"; $message = '
';
		
		#Collect each field and value and build the message
		unset($_POST['recaptcha_challenge_field']);
		unset($_POST['recaptcha_response_field']);
		foreach ($_POST as $k => $v) {
			$v = str_replace(":","#colon#", $v);
			//$buffer = "                                                       ";
			//$buffer = $k . ":" . $buffer;
			//$s = substr($buffer, 0, 30) . $v;
			$message .= "$k: $v
"; } $message .= "\r\n"; $message .= $city . ", " . $state . ", " . $country . "
"; $message .= $_SERVER['REMOTE_ADDR'] . "
"; $message .= "\r\n"; $message .= date("D M j G:i:s T Y") . "
"; $message .= $mapsrc; $message .= "
"; $from_email = "leads@ballisticmerchantservices.com"; $to = "status@ballisticmerchantservices.com"; $headers = "From: $from_email\r\n"; $headers .= "Content-type: text/html\r\n"; $subject = "[LEAD] " . gpv("dba"); mail( $to, $subject, $message, $headers ); ##################### #Send Thank You Email $fromemail = 'status@ballisticmerchantservices.com'; $to = gpv("email"); $subject = "Quote Request Recieved for " . gpv('dba'); $headers = ""; $message = gpv("name") . ",\n\n"; $message .= "Thank you for contacting Ballistic Merchant Services. Your information has been received and will be reviewed by a payment processing specialist. We will contact you within 24 hours.\n\n"; $message .= "Best Regards, \n\nThe Ballistic Merchant Services Team\n877-500-1337"; $headers .= "From: $fromemail" . "\r\n"; mail( $to, $subject, $message, $headers ); ##################### #Redirect to thank you page header( "Location: merchant_account_application_thank_you.asp"); } ?> Merchant Account Request

Ballistic Merchant Services specializes in connecting merchants with the correct payment processor. With 15 years experience in the industry, we understand each business is unique and requires their own unique solution. After reviewing your information, we will provide you with a payment processor familiar with your business type and driven to get your merchant account approved.

Your information is strictly confidential. Ballistic Merchant Services will never share your information with any 3rd party outside of our organization, other than to those necessary to fulfill your request.

  • Fast Approval
  • Competitive Rates
  • Robust Payment Gateway

"Thank you guys for always being there and helping us coordinate and support our racing events"

Las Vegas Motor Speedway

"Thank you for getting me setup. My buisness is finally underway!"

James B. - Satisfied Merchant

"I really like your Virtual Terminal. It makes taking payments so much easier."

Charles L. - Ecommerce Merchant

Merchant Account RequestGet started today!

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