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FREE SMART Credit Card Terminal or POS and a REBATE!
Business Name
*
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of business
*
Please Select
Retail Storefront
Restaurant
Bar/Club
Service
Other
Date Business Started
*
-
Month
-
Day
Year
Date
Monthly Credit Card Processing Volume
*
Please Select
New Business $0
$1,000 to $5,000
$5,000 to $10,000
$10,000 to $15,000
$15,000 to $50,000
$50,000 to $100,000
$100,000 to $250,000
$250,000 plus
Current Processing Equipment
*
Please Select
Credit Card Terminal
Point of Sale
Mobile
Ecommerce
Virtual Terminal
Comments
*
Submit
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