Gotmerchant.com




All information provided remains 100% confidential. No Personal Information is Being Collected!


 
DBA Name (Doing Business As):  
Contact Name:  
Business Phone:   - -
Business Address:  
City:  
State: 
Zip Code:  
Business Email:  
Web Site (if applicable):  
Type of Business:  
Products or services being sold:  
How did you find or hear about us?: 

Do you currently accept credit cards for this business?
  No
  Yes
 

 
Owner's First Name: 
Owner's Last Name: 
Is Your Home and Business Address the same? 
Owner/Officer's personal credit? 
 

 
Estimated Total Monthly Visa/MC Processing Volume (000 format only please):
 
$.00
Estimated Average Credit Card Sale (per customer) (000 format only please):
 
$.00
Estimated Largest Credit Card Sale (per customer) (000 format only please):
 
$.00

How will you process your transactions?

%   Through your web site
%   Swiping cards through a credit card terminal.
%   Manually keyed-in (WITHOUT card imprint)
%   Manually keyed-in (WITH card imprint - imprinter required)
100% - Total must add up to 100%

Which product of ours did you want to use to process your transactions?:


Credit
Card Machine

Free POS
System

Free Cash
Register

Smart Phone
Swiper

Free
Wireless Terminal

Internet
Gateway

Yahoo
Store

Touch Tone

Other -
Don't know

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