All the form fields are required, if you are not sure just answer as close as you can. |
Does your business currently accept credit cards?
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Yes
No
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Are you currently in need of credit card processing equipment?
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How much do you currently accept, or do you anticipate accepting, in monthly charges?
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Under $5,000/month
$5,000 - $10,000/month
$10,000 - $20,000/month
$20,000 - $40,000/month
$40,000 - $100,000/month
Over $100,000/month
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What is, or do you anticipate, the average individual charge amount to be?
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What is/are your most likely method(s) for accepting credit cards?
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Business Name |
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Type Of Products sold or services provided |
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State (in which company is located) |
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Zip Code |
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Contact Name |
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Contact Phone |
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Contact Email |
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Comments |
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October 20, 2008
Merchant Services Application