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*Notice: Our exceptional service and low rates may be shocking to prospective clients. Please prepare yourself as we know how uncommon this is in the payment processing industry.

Contact Name*
First Last
Contact Phone*
Contact Email*
Company Legal Name*
Products or Services Sold:*
Are You Currently Processing?*
- Yes
- No
How do you process?*
- In-Person
- Online
- Both
System Used*
- Stand Alone Terminal
- Software / POS System
- I don't know
- Other
What system do you use?*
Average Monthly Volume*
Average Ticket (ex: $15)*