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Merchant Account
Allstate Merchant Services LLC.
132 West 36 Street, 3rd Fl.
New York, NY 10018
Mandatory *
Contact Name
*
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Business Name
*
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Phone Number
*
Please provide a valid phone number. 10 digits, numbers only.
Best Time To Call
E-Mail Address
*
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Referral Name
City
*
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State
*
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Have you ever accepted credit cards?
*
Yes
No
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•Years In Business
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
More Than 15
•Monthly Processing Volume
$1 - $1,000
$1,000 - $5,000
$5,000 - $10,000
$10,000 - $25,000
$25,000 - $100,000
More than $100,000
•Average Transaction
$1 - $50
$50 - $100
$100 - $1,000
More than $1,000
•Type of Business
Convenience Store
Gas Station
Bar / Club
Retail Store
Auto Repair
Grocery Store
Lodging
Restaurant
E-Commerce / Other
Upload a current Processing Statement
Would you be interested in a selling your products online through our web solution program
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Would you be interested in a website?
If you spoke to an account manager, please specify his/her name.
Please specify the name of the person you spoke with.
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