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Your Name
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Email
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Business Phone
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City
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Province
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AB
SK
MB
ON
QC
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NB
PEI
NL
NT
NU
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Business Name
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Website
Best time to contact you
10am - 12pm
12pm - 2pm
2pm - 5pm
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Who is your current Provider?
Elavon
1st Data
Moneris
TD Merchant Services
Paymentec
Global Payments
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How long have you been with them?
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What is most important to you when deciding to choose a payment provider?
What type of products/services do you offer your customers?
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What kind of processing do you need for your business?
Retail - Debit Only Terminal
Retail - Debit & Credit Card Terminal
IP (Hi-Speed Internet) Terminal
Cellular Terminal (full-mobile)
Wireless (WiFi) *movement within a location
Cellular Terminal (semi-mobile) *tradeshows
PC & Internet Processing
E-Commerce/Website Processing
Phone Authorization Processing
When do you need these service running by?
right away
in a few weeks
next month
longer than 1mth away
What is the Avg. Sale Per Customer?
$25 or under
$50 or under
$75 or under
$100 or under
$150 or under
$250 or under
$500 or under
$1000 or under
$1500 or under
$2500 or under
$5000 or under
$10 000 or under
$15 000 or under
$15 000 or over
What is your estimated TOTAL monthly volume?
under $3000
under $4000
under $5000
under $8000
under $10 000
under$20 000
under $50 000
under $80 000
under $100 000
under $200 000
under $400 000
under $600 000
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Google
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