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Dual Price Payment Processing
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7
Questions
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1
Business Name
*
This field is required.
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2
Type of Business
*
This field is required.
Retail Store
Restaurant
Quick Serve Restaurant
Bar
Service
Medical or Dental
Other
Retail Store
Restaurant
Quick Serve Restaurant
Bar
Service
Medical or Dental
Other
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3
Owner's Name
*
This field is required.
First Name
Last Name
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4
Email
*
This field is required.
example@example.com
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5
Phone Number
*
This field is required.
Please enter a valid phone number.
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6
Do you want to make the same profit with credit card sales as cash sales?
YES
NO
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7
Please verify that you are human
*
This field is required.
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