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Business Name
Contact Name:
Contact Phone:
Contact Email:

Business Information
Business Name:
Address:
City:
State:
Zip Code:
Business Phone:
Business Fax:
Business Type
Do you currently accept credit cards?



Web Site Address:
When was your business Started:
Please briefly describe your products and/or services:
Contact Person
Contact Email Address:
Confirm Email Address:
   
Transaction Information  
What is/will be the value of your average credit card sale?







What is/will be the monthly processing volume of credit card sales?



How does your business process most of its credit card transactions?







                                           
 
Total Merchant Services
Total Merchant Services (TMS) is a registered ISO/MSP for HSBC Bank USA, National Association, Buffalo, NY Merchant Account Roaring Media