Let’s work together DBA Name Name * First Name Last Name Email * Mobile Phone * (###) ### #### Business Phone Business Address Address 1 Address 2 City State/Province Zip/Postal Code Country Average Monthly Card Volume $ Average Ticket Amount $ Are you paying fees or passing fees? Paying Passing What Percentage is Paid or Passed? Divide your total monthly fees by card volume for the effective rate you pay. Swiped in Person Percentage i.e. 80% of customers pay in person. Funding Time How long does it take to get your deposits? Same Day Next Day Over Two Days Current Equipment What equipment do you use now? What POS System do you use if applicable? How many devices? Is Equipment Owned or Leased? Owned Leased Do You Get a Monthly Merchant Statement? Yes No Representative Email Are you working with one of our team members? Notes Anything our team should know? Thank you,You will receive a quote shortly!Please submit any additional questions to info@sayfpay.com