1. Does your business currently accept credit cards?
   Choose One Yes No
2. How many years in business?
   Choose One A Start Up less than 1 month old Been in business less than 1 year Been in business more than 1 year
3. Primary method for accepting credit cards
   Choose One Manually Swipe By Phone By Mail Order Internet / Website
4. Select industry that best describes your business
   Choose One Adult/E-Dating Association/Buying Group Auto Dealer/Repair Bank/Credit Union Bar/Club Chamber of Commerce Convenience store Dental Practice E-Commerce Gas station Government Grocery store Health Club / Fitness Lodging/Hotel Manufacturing Medical/Hospital Non-Profit Office building Professional services Property Mgmt/Real Estate Publishing Restaurant Retail Store School/University Services Travel Agencies Veterinarian/Animal Care Other
5. What is average charge per transaction?
   Choose One Greater than $1,000 Between $250 and $1,000 Between $0.00 and $250
6. What is monthly processing volume (excluding AMEX)?
   Choose One Greater than $50,000 Between $25,000 - $50,000 Between $0 - $25,000
7. Tell us about your return policy
   Choose One Don't have a return policy Return policy only for store credit Return policy for cash or check
8. Time frame for providing your product or service?
   Choose One Future delivery greater than 1 month Delivery between 7 - 30 days Immediate (ex. retail counter or restaurant)
9. Merchant account history
   Choose One Been denied a merchant account within past 12 months Filed for bankruptcy in past 3 years Current merchant account in good standing for another business

Results Will Appear Here