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There were some problems with your responses, please see the items marked below in red.
Credit Card Sales Information
What are your estimated monthly sales?$
Average transaction size?$
– or –
How many credit card transactions do you have in a month?
What are your current monthly credit card processing fees?$
Please fill out this field, or check ‘I don’t have this information’ below.
I don’t have this information.
How Do You Serve Your Customers?
Estimate the percent of your sales that take place:
These entries must sum to 100%.
In Person %
Mail Order %
Do you typically deliver your product or service within 3 days of payment?YesNo
Approximately what percent of your credit card sales are to other businesses? %
Do you typically swipe the customer’s card?YesNo
If you don’t swipe the customers card do you verify their address?YesNo
Do you allow customer to enter their Debit Card PIN?YesNo
Typically merchants have 20% of the transactions as PIN-entry Debit, would you like to adjust this estimate? %
Do you accept Discover?YesNo
Do you accept American Express?YesNo
Basic Information About Your Business
What is the name of your business?
Some types of businesses have special rates. Check this list to see if your business is subject to a special rate.(Otherwise just select Other.)OtherUtilitiesTravel AgenciesTransportServicesRetailRestaurants / BarsRecreationProfessional ServicesMail Order / Telephone OrderHotel / MotelGas StationsFood Stores / WarehouseEducationAutomobile / Vehicle RentalAirline
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PO Box 1459 , Mountainside, NJ 07092