QuickLine Payments Free Merchant Rate Quote Questionnaire

Business Information
Business Name (Legal and/or DBA) *
Your Name *
Ownership Type *
Business Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business Location (if different than legal address)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
When was the business founded? *

Month Day Year
Date
Business Type *

Restaurant Retail Professional Services
How would you describe your products/services? *
Give us the basics or write us a novel. The more details we have about your business operations, the better we can understand your exact processing needs.
Does this business currently accept credit cards? *

Yes No
Upload a recent processing statement for the most accurate and detailed rate and fee comparison!
Which payments would you like to accept? *

VISA, MASTERCARD, DISCOVER, AMEX, PIN Debit EBT Contactless Payments Self Ordering Kiosk
Primary Sales Method *

In-person (card present) Mail/Phone (card not present) Internet/eCommerce (card not present)
Do you offer recurring and time-extended services (subscriptions, memberships, recurring plans, etc.)? *

Yes No
Monthly Volume *
Average Transaction Amount *
Telephone Number *

Area Code Phone Number
Email *
example@example.com
Notes (Optional)
Website Address
Please verify that you are human *
Should be Empty:

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Business Information