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Please provide the information below so that we may best assist you with your business.
First Name:
Last Name:
Phone:
Email:
Business Name:
Types of products sold or services provided:
How are your products or services sold?
100% Face-to-Face w/customer
Mostly Face-to-Face w/some phone orders
100% Internet
Internet w/some phone orders
Mostly phone orders
Not Sure
Approximately how much do you anticipate accepting in credit card sales each month?
$0 - $1000 per month
$1000 - $2500 per month
$2500 - $10,000 per month
$10,000 - $25,000 per month
$25,000 - $50,000 per month
$50,000 - $100,000 per month
greater then $100,000 per month
Not Sure
Additional Comments:
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United Payment Services is a registered ISO/MSP of BancorpSouth Bank, Tupelo, MS.
American Express and Discover require separate approval.
Copyright © 2006 United Payment Services. All Rights Reserved.