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Before we begin, How do you write your full name, Sir?

 
 
 
Are you the Owner or a Decision Maker, Sir?
 
 

 
 
 
What is your primary line of Activity or Business?
 

 
 
 
[Mr Customer] Are you a Corporation; a LLC; a Partnersip or a Sole Proprietorship Business?
 
Sole Proprietorship
 
Partnership
 
LLC
 
Corporation
 
others
 
 
 
What is your Average Monthly Business Volume please?
 
Specify PM Vol in $ only

 
 
 
Do you Accept Credit Cards?
 
 

 
 
 
Who do you currently processing with? Name of your Merchant Bank Account Processor please?
 
Name of Processor

 
 
 
Are you happy with your current Merchant Account Processor?
 

 
 
 
And why do you feel that ways, Sir?
Your Top 3 reasons in terms of DISCOUNTING RATE, EQUIP FEATURES & EQUIP PRICE?
 
Cap reason 1
 
Cap reason 2
 
Cap reason 3
 
Cap reason 4
 
Cap reason 5

 
 
 
Sir, There is an ongoing package available in the market with free equipment terminals worth more than 1500 dollars, with a gauranteed unbeatable discounting rate offer, along with a free e-marketing campaign for your business.
Would you care to know more about it?
 
 

 
 
 
What is your best number to contact and best time to reach you just in case if there are any delays and if we have to?
 
Direct Office#
 
Mobile#
 
Fax #
 
Home Phone #
 
Email address
 
Best Time to contact

 
 
 
Sir, Just to confirm the correct address to send this vacation package is ?
 
Street Add
 
Apt#/House#/Suite#
 
City
 
State
 
Zipcode
 

 
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