Monday, September 14, 2009

Stop being overcharged to accept credit cards








Please submit this form and latest statement to:

Don Stice, 3003 Franklin, Vancouver, WA 98660




or Fax:

1-866-910-7775

(You may black out any account information)

You will be contacted by phone as soon as possible.



Home


Name:






Company Name:





About Me


Email:
(Your email is confidential and safe with us)






Phone:





Articles


Fax:






Method of Statement Submission



Fax



Email



Postal Mail




Submit Statement


Do you have an annual fee?



Yes



No





If yes, how much is your annual fee?





Interchange Rates


Average monthly processing ($) dollar amount:






Please indicate percentage of how payments are received:


__% Swiped


__% Keyed


__% MOTO


__% ecommerce







Contact Me


What type of products or services do you sell?






Do you own or lease your equipment?



Own



Lease





Equipment name(s) & model #(s):






Will you need new equipment? If so, what equipment do you need?






If using POS system, please provide Vendor's name, software and version.






How many locations do you own?






If engaging in ecommerce, what software is used?






Additional questions or comments :











create web form






My processor is a registered ISO and MSP of HSBC Bank USA, National
Association, Buffalo, NY



Designed and developed by Don Stice