home *** CD-ROM | disk | FTP | other *** search
- Type "P" to Print
-
- Get you're business set up with VISA\MC - 95% Success rate!
- Consultants, Home Business, BBS's, Reseller's, Phone Orders.
-
- Business Information Questionnaire: Please FAX to: 916-381-8746
- or E-Mail Application on CompuServe: Kevin King ID 75024,2222
- --------------------------------------------------------------------
- ** For office Use only: MH-10008-3097 * PLEASE include with FAX! **
- --------------------------------------------------------------------
- ** PLEASE ANSWER QUESTIONS WITH UPPER CASE LETTERS, THEN FAX! **
-
- 1) Business Name:
-
- 2) Name of Owner/Guarantor
-
- 3) Phone 1:
-
- 4) Phone 2:
-
- 5) FAX:
-
- 6) Address
-
- 7) City\State\Zip
-
- 8) Product or Service Sold
-
-
- 9) Advertising Method
-
-
- 10) %Phone\Mail\Fax\Email Order
-
- 11) %Home: ______ %StoreFront:_______
-
- 12) Type Ownership: ( ) Corporation ( ) Partnership ( ) Sole Owner
-
- 13) Date Business Started: __/__/19__
-
- 14) Credit: ( ) Excellent ( ) Fair ( ) Poor ( ) Past Banktuptcy
-
- 15) Are you interested in the lease or cash purchase of the terminal?
-
- 16) When might you wish to proceed with opening your account?
-
-
- 17) Notes/Comments:
-