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Please fill out the completed form and submit to us and a representative will be in contact with you within 24 Hours to get your savings proposal or any other questions you may have. You can also fax us a copy of your current provider statement to help speed things up so we can get you your savings money as soon as possible.
 
Owner Name:
Contact name if different:
Legal Business Name:
Business Street Address:
City:
Zip Code: (5 digits)
State:
Busisness Phone:
Cell Phone:
Fax # :
Email:
Type Of Business:
Type Of Products Sold:
Average Credit Card Sale:
Monthly Credit Card Volume:
Are You Accepting Credit Cards Now:
Will You Accept Discover:
Will You Accept American Express:
How Do You Mostly Accept Your Credit
Card Sales, In person, Mail or phone Order,Website:
What Type Of Equipment, Terminal or Software Do You Have:
Do You Need A Free Terminal:
Website If Any:
 Please Check Off All Services And Products Of Interest Merchant Account
  Free Statement Review
  Free Virtual Terminal
  Website Integration
  Pinbased Debit Information
  Gift Card Program
  Cash Advance Program
  Free Check Verification And Collection
  Electronic Check Conversion
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TPSS is a registered ISO/Agent of Omnitranz-registered ISO of Chase Paymentech- Powered by First Data member of First National Bank
Also a registered Iso/agent for Clearent Processing member of First National Bank
 
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