Does Your Business Currently Accept Credit Cards?
Yes No
Are you currently in need of credit card processing equipment?
Yes No Not Sure
How much do you accept, or anticipate accepting, in monthly charges?
Under $5,000 a month $5,000 - $10,000 $10,000 - $20,000 $20,000 - $40,000 $40,000 - $100,000 Over $100,000
What do you anticipate to be your average individual charge ammount?
$1.00 - $50.00 $50.00 - $100.00 $100.00 - $1,000.00 Over $1,000.00
What is your most likely method for accepting credit cards?
Manually swipe cards at a retail store or rest. Through a website or online business By phone or through mail order Manually swipe cards at mobile bus./trade show Other
Business Name
Type of products sold or services provided
State
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Zip Code
