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Merchant Qualification
Please fill in the information below for a new lead you'd like to send Calibr.
Thank you for your partnership!
Your Name & some background on the prospective client
*
What is the name of the Company in question?
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The Comany's Website URL
Contact Person's First Name
*
Who would be the main point of contact at the company
Contact Person's Last Name
*
Contact Person's Email
*
Have you collected processing statements to analyze?
*
Please Select
Yes
No
What type of Goods or Services does this merchant sell?
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Please include any other information that might be helpful to qualify the merchant, as well as if you have a preferred processing house.
Name of Terminal / Gateway Being Used Currently
*
How are they processing payments? If you're not sure, just write N/A.
Monthly Processing Volume
< $100,000
$100,000 - $500,000
$500,000 - $1,000,000
> $1,000,000
Not Sure
Processing and/ or Bank Statements
Please upload any processing or bank statements you have obtained if applicable.
Submit Request