Merchant Interview Form | Npidia Portal

Salesperson

Sales Team

Manager Name *

Business Name *

Manager Phone Number *

Address *

State / Province

City

Manager Email *

Type of Business *

Monthly Volume *

Highest Ticket?

How many locations?

How long have you been in business? *

How long you are planning to stay in business? *

Are you under a contract? *

Yes

No

Contract with WHO?

Is the current equipment *

If leased, how much per month?

What would you change about your current processing packages? *

Rates, customer service, machine ...etc.

How can Cardconnect earn your business today?

Special requests

EBT

Amex

Tips

Wireless

Check Reader

Auto Batch

Percentage of Cards Swiped in Store *

Interested in Surcharge Program? *

Yes

No

Notes