Virtual Merchant and Visa ® Prepaid GenieCard Application
Signup Options

The GenieCard is included in the Virtual Merchant program at NO additional cost.
Virtual Merchant Applicants must have an active Genie Number to obtain a Virtual Merchant
Account. Trial accounts must wait until their permanent activation.
Genie Number:   
Pass Code:   
  Click here to Validate your Genie Number
Select one:   
Initial Deposit:  (Required - $10.00 minimum) Total: 

 Personal Information    -   Please complete the form below

Promotional Code:   
First Name:  (Required)  
Middle Name:   
Last Name:  (Required)  
Business Name:  (Required)
Street Address:  (Required)
Apt# / Suite#:   
City:  (Required)  
State:  (Required)  
Zip Code:  (Required)  

Cellular Phone:  (Required)  
Cell Provider:  (Required)  
Home Phone No:  (Required)  
Work Phone No:   
Email Address:  (Required)  
Occupation:   
Birth City:   
Date of Birth:  Pick a date (Required) Format: mm/dd/yyyy  
Favorite color:  (Required)  

 Virtual Merchant Account Information

Type of Products / Services:  (Required)
Total projected Monthly Sales:  (Required)  
Estimated Average Ticket:  (Required)  
Product/Service Delivery Time frame:  (Required)
Fulfillment Company Name if applicable:   


 Required identification to activate your Virtual Merchant with a GenieCard

Social Security No:  (Required)  
Select one:   

DL Number:  (Required)  
DL State:  (Required)
DL Expiration date:  Pick a date (Required) Format: mm/dd/yyyy
Passport ID:  (Required)  
Country:  (Required)  


 Billing Information

Payment Method:

Charge my Credit Card
Debit my GenieCard
Debit my Genie Number
Mail in my Check or Money Order
Electronic Check
Teller Deposit

Genie Number:  (Required)
Pass Code:  (Required)
  Click here to Validate
GenieCard No:  (Required)
Pass Code:  (Required)
  Your GenieCard will be mailed to you approxiamtely 10 business days after we receive your deposit in the amount of
   
  Please make your check payable to DepositService.com
 
  Please mail your check to:   AllCom 
                                              15760 Ventura Boulevard 
                                              Suite A10 
                                              Encino, California 91436 
                                              USA 
First Name:  (Required)
Last Name:  (Required)
Bank Routing No:  (Required)
Bank Account No:  (Required)
Bank Name:  (Required)
Bank Address:  (Required)
Bank City:  (Required)
Bank State:  (Required)
Bank Zip Code:  (Required)
Bank Phone No:  (Required)
Credit Card No.:  (Required)
Address:  (Required)
Zip:  (Required)
Expiration Month:  (Required)
Expiration Year:  (Required)
Security Code:  (Required)    What is it?
  Bank Selection:  (Required)
  Note: To create a Deposit Ticket, you will need Adobe Acrobat Reader. If you do not have this utility, click here to download and install this utility free of charge, in a matter of minutes. 
 

  Your GenieCard will be mailed to you approximately 10 business days after we receive your deposit in the amount of .
  Once you agree to the terms of the Cardholder's Agreement and press the red Sign Me Now button below. We will create a special Deposit Ticket which you will be able to print on your printer. Please use this Deposit Ticket to make your deposit at any branch of the bank you selected.


  Please agree to our Terms and Conditions below


 I have read and agree to all the terms and conditions above    GenieCard Fee Schedule

Please review all the information above before pressing the Sign Me Up button!