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If you are ready to start saving with credit card processing, or are just curious, we are glad to discuss it with you. Please provide us with your information below so we can better serve you.
Name:
i.e. Mr. John Smith
Company:
Job Position:
Business Phone:
Best time to call:
Mobile Phone/Other:
Best time to call:
Email:
Address Attention:
Address:
Suite:
City, State, Zip:
-- select --
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Dist. of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
None
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Nunavut
Ontario
Prince Edward Isl.
Quebec
Saskatchewan
Yukon
Country:
-- select --
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Angullia
Antarctica
Antigua, Barbuda
Argentinia
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Br.Virgin Isl.
Brazil
Brunai
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Isl.
Chad
Chile
China
Christmas Isl.
Columbia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dominica
Dominican Rep.
East Timor
Ecuador
Egypt
El Salvador
Eq.Guinea
Eritrea
Estonia
Ethiopia
Falkland Isl.
Faroe Isl.
Fiji
Finland
France
French Guyana
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Granada
Greece
Greenland
Guadaloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazachstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marocco
Marshall Isl.
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldovia
Monaco
Mongolia
Montserrat
Mozambique
Myanmar
N.Mariana Isl.
Namibia
Nauru
Nepal
Neth.Antilles
Netherlands
New Guinea
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Isl.
North Korea
Norway
Oman
Pakistan
Palau
Panama
Paraguay
Peru
Philipines
Pitcairn
Poland
Polynesia
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Samoa
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Isl.
Somalia
South Africa
South Korea
Spain
Sri Lanka
St.Helena
St.Kitts
St.Lucia
St.Pierre
St.Vincent
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tadjikistan
Taiwan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad
TuIvalu
Tunisia
Turkey
Turkmenistan
Turks Isl.
UA Emirates
US Virgin Isl.
USA
Uganda
Ukraine
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Viet Nam
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Please answer the following questions:
1.
Do you currently accept credit card payments?
Yes
No
2.
What percent of your transaction are key entered into a terminal rather than swiped?
%
3.
What do you estimate your total credit card receivables will be over the next month.
$
4.
What do you estimate your total credit card receivables will be over the next month
for amounts
over $5,000
per transaction?
$
5.
What have your actual monthly processing fees been (if you have been receiving payments)?
6.
What is your average number of transaction per month?
We are constantly studying the payment processing industry to find ways to help merchants. That is how we learned about the high rates that vendors were paying to process large payments. We then worked to reduce this and became the first in the nation to do so. Occasionally we may learn of other ways to help you.
May we send you news bulletins when we learn of new ways to improve your receivables processing? We will not send more than one update in a month.
Yes, keep me informed.
No thanks.
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© Copyright 2003, Peak Payment Corporation. All rights reserved.