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Intake form
Help us serve you better
Name
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Email address
*
What type of business do you operate?
Select
Multi-Disciplinary Clinic
Franchise
Professional Services
Co-Working Space
How many merchant accounts do you need to manage?
What payment processing challenges are you currently facing?
What features are most important to you in a payment solution?
Please select at least one option.
Multi-MID Management
Customizable Settings
User-Friendly Interface
Enhanced Reporting
Cost-Effectiveness
Professional Appearance
What is your current payment processing system?
How did you hear about OfficePay?
Please select at least one option.
Referral
Social Media
Search Engine
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What is your preferred method of contact?
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Email
Phone
In-Person
What is your timeline for implementing a new payment solution?
Select
Immediate
Within 1 month
1-3 months
3-6 months
6 months or more
Additional questions or comments
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