Apply Now for Access to Datacap Systems Configuration Server

Complete the following to apply for a PSCS account.

Datacap will review your application and send your account information by email to the email address supplied in the form below:

Business Name
Business Address 1
Business Address 2 (opt)
City State Zip Country
Primary Contact Name
Primary Phone
Other/Cell Phone (opt)
Fax Number (opt)
E-mail Address
Web Address (opt)
Desired Username
Are you already a Datacap Dealer? Yes No

Business Type

Authorized POS/ECR Reseller Yes No
POS/ECR Products Sold
Merchant Services Reseller Yes No
Bankcard Relationship
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