Does Your Business currently accept credit cards? * Yes No Are you currently in need of credit card processing equipment or software? * Yes No How much do you currently accept, or do you estimate accepting, in monthly charges? * Under $5,000 $5,000 - $10,000 $10,000 - $20,000 $20,000 - $40,000 $40,000 - $100,000 $100,000 What is, or do you estimate, the average individual charge amount to be? * $1 - $50 $50 - $100 $100 - $1000 $1000+ What is/are your most likely method(s) for accepting credit cards? * Manually swipe cards at a retail store or restaurant. Through a website or online business By phone or mail order Manually swipe cards at mobile business/trade show Other Business Name * Type of Products or Services Sold * State * AL AK AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip * Contact Information Name * Phone * E-mail * Comments