POSGEORGIA.COM

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Does your business currently accept credit card payments?
Choose yes or no Yes No

How will your credit card sales will be processed?

Select One Retail(in store) Phone or email Internet

Value of average credit card transaction in your store? Select an amount None $1 - 19 $20 - 49 $50 - 199 $1000 - 4,999 $5000+

Current or projected monthly credit card volume?(Please estimate if no info available.)
Select volume None $1-999 $1,000-9,999 $10,000-24,999 $25,000-49,999 $50,000-99,999

When would you like this credit card porcessing service to begin?

ASAP 0-3 Months 4-6 Months 6 Months+ Not Sure

Full Name

Business Name

Email

Phone

Address

City

State

Please describe in detail any other requirements you may have for your POS system.

Enter date
Enter your website

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