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Qualification Form
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Qualification Form
Qualification Form
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2015-12-28T23:43:11+00:00
Qualification Form
Just a few minutes can save you Thousand$
Business Name
*
Years in Business
*
0 - 1
1 - 2
2 - 3
3 - 4
4 - 5
5 - 10
10 - 15
15 - 20
20+
Owner Name
*
First
Last
Email Address
*
Phone
*
Business Website
*
Accepting Credit Cards?
*
Yes
No (we are planning to)
Avg. Transaction Size
*
Avg. Monthly Sales
*
Estimated Transaction Size
*
Proposed Monthly Sales
*
Type of Business (check all that apply)
*
Retail
MOTO
E-commerce
Mobile
Equipment (you currently have/need or blank for new clients)
*
Landline Terminal
POS
QB / sycpay
Gatway