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Does your business currently accept credit cards?
Yes
No
Are you currently in need of credit card processing equipment?
Yes
No
Not Sure
What is/are your most likely method(s) 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:
Contact Name:
Contact Phone:
Contact Email:
State (in which company is located):
Comments: