Payment Processing form :: DAC Funds Me!

First Name

Last Name

Business Name

Email Address

Phone Number

Time Zone:

Eastern

Central

Mountain

Pacific

Best Time to Call:

8:00 a.m. to 10:00 a.m.

10:00 a.m. to 12:00 p.m.

12:00 p.m. to 2:00 p.m.

2:00 p.m. to 4:00 p.m.

4:00 p.m. to 6:00 p.m.

Do you currently accept credit card payments?

Yes

No

How many locations do you have?

How will you accept payments?

In Person

Through My Website

Mobile/On the Go

Manual Entry

Do you have any additional notes or questions? Enter them here:

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