Questions for new payment plan merchants

Pre-Application for Payment Plan Merchants

1. Please provide your contact information

First Name *This question is required.

Last Name *This question is required.

Company Name *This question is required.

Country *This question is required.

Which country are you a citizen of? *This question is required.

Email Address *This question is required.

Phone Number *This question is required. (If you are outside North America, please include your country code and provide your Skype handle in the next question)

2. Skype handle

3. What site, list, e-mail or social media initially brought you to our Rapid Financial Solutions site? *This question is required.

4. Do you already have a merchant account you are processing with? *This question is required.

Please enter an 'other' value for this selection.

5. URL to the site you want a payment plan for *This question is required.

6. Type of Business *This question is required.
Please provide details of the nature of your business, and what products and services are sold

7. How much is your average ticket price? *This question is required.

8. What days and times are the best time for you to see our demo?

Space Cell	Day	Time	Your time zone
Option 1	Option 1: Day	Option 1: Time	Option 1: Your time zone
Option 2	Option 2: Day	Option 2: Time	Option 2: Your time zone
Option 3	Option 3: Day	Option 3: Time	Option 3: Your time zone

9. Do we have your permission to put you on our Free Business Tips List?

We send out one e-mail once every couple of weeks and of course, you can unsubscribe at any time from within the e-mails.

Besides the tips to educate you, this will also keep you up-to-date on any new services we offer that will help your business. *This question is required.

10. Any Additional Comments