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New Merchant Intake Form

    Principle Information

    General Business Information

    Type

    Applicable Services

    (check all that apply)

    Services Needed

    Are you currently Processing Credit Cards?

    How You Process (%)

    Special Requirement/Notes

    Action To Take

    Please submit 1 month's statement, PER LOCATION, to info@cpspays.com for comparison and proposal of savings.

    Why We Need Statement