Merchant Industry - Credit Card Processing Free Evaluation

* Are you currently in need of credit card processing equipment?

Yes
No
Not Sure

* How much do you currently accept, or do you anticipate accepting, in monthly charges?

Under $5,000/month
$5,000 - $10,000/month
$10,000 - $20,000/month
$20,000 - $40,000/month
$40,000 - $100,000/month
Over $100,000/month

* What is, or do you anticipate, the average individual charge amount to be?

$1 - $50/transaction
$50 - $100/transaction
$100 - $1000/transaction
$1000+/transaction

* 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

* State (in which company is located)

* Zip Code

* Contact Name

* Contact Phone

* Contact Email

Comments

*A hard copy of the merchant processing agreement and application must be submitted

Merchant Industry LLC is a registered ISO/MSP of Wells Fargo Bank, N.A., Walnut Creek, CA. American Express and Discover require separate approval. Website and Content Copyright 2007-2008 Merchant Industry LLC, All Rights Reserved. Reproduction without the written consent of Merchant Industry LLC is prohibited. Merchant Industry is a registered trademark and service mark of Merchant Industry LLC. Authorize.Net and the Authorize.Net logo are trademarks of Lightbridge, Inc. © 2007-2008. All rights reserved