Are you interested in credit
card processing for your growing business? Then please
call us at 1.800.486.1691 (Monday - Friday, 9:00AM
- 5:00PM Eastern Time) or fill out the form below.
Date
|
Name
|
Last Name
|
Company Name
|
Title
|
Address 1
|
Address 2
|
City
|
State
|
Zip
Code
|
Email
|
Phone Number
|
Does your business currently accept credit cards?
|
|
Yes
- We already accept credit cards |
|
|
No
- We do not currently accept credit cards |
|
How do you (or will you) receive the majority of your credit card processing orders? |
|
In
person - cards are swiped on premises |
|
By phone and/or
- cards manually entered |
|
Internet - card
information is entered by buyer on a website |
|
Not Sure |
Which forms of payment would you like to accept? |
|
Visa and Master Card |
|
Discover |
|
American Express |
|
Diner's Club |
|
Debit Cards |
|
Other |
What is your gross yearly sales volume (Cash + Credit + Debit + Check)? |
|
$1 - $19,999 |
|
$20,000 - $49,000 |
|
$50,000 - $199,000 |
|
$200,000 - $999,000 |
|
$1,000,000 - $4,999,000 |
|
$5,000,000 or more |
What is (or will be) your average yearly credit card volume? |
|
$1 - $19,999 |
|
$20,000 - $49,000 |
|
$50,000 - $199,000 |
|
$200,000 - $999,000 |
|
$1,000,000 - $4,999,000 |
|
$5,000,000 or more |
What is (or will be) your average credit card sale (ticket)? |
|
$1 - $19 |
|
$20 - $49 |
|
$50- $199 |
|
$200 - $999 |
|
$1,000 - $4,999 |
|
$5,000 |
|
Are you looking to receive details on credit card terminals as well as credit card processing? |
|
Yes |
|
|
|
No |
|
|
|
When do you need this service to begin? |
|
As soon as possible |
|
Within one week |
|
Within two weeks |
|
Not Sure |
|
|
|
|
|
|
|
