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Statement Analysis Form
For a professional analysis of your current merchant account and a customized proposal for your credit card processing, please complete the STATEMENT ANALYSIS FORM below. One of our experienced sales executives will contact you promptly. In addition, you will automatically receive our FREE White Paper explaining the benefits of Interchange-Plus pricing!

Merchant Focus GUARANTEES we can save you money compared to your existing merchant account.

Fields with an * are required

First Name:* Last Name:*
Business Name:*
Address:* City:*
State:* Zip:*
Business Phone:* Fax:
Cell Phone:* Email:*
Website (URL):*
Visa/MasterCard Monthly Sales Volume:*
Current Merchant Account Provider:*  
Payment Gateway or Credit Card Terminal:
Retail eCommerce Mail Order  
Are you currently a Yahoo! Store?       Yes   No

Thank you very much!