Merchant Processing Surcharge Program
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Please fill out the simple form below to get started
and a CDM rep will be in contact with you shortly.
Business Name
*
Contact Name
*
Phone
*
Alternative Phone (cell)
Business Address (city, state, zip)
*
Email Address
*
Merchant Type
*
Best Time to Call
Do You Know Your Current Processing Rate?
1.5% - 2.5%
2.5% - 3.5%
3.5% - 4.5%
4.5%+
How Much Do You Spend In Monthly Fees?
$1 - $500
$500 - $1,000
$1,000 - $3,000
$3,000+
Monthly Volume?
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000+
Add any additional notes?
