Screen Shot 2020-08-17 at 9.10.49 AM

Please complete the form below to learn more about Apex Payment Solutions. You will receive $50 off a terminal for mentioning code PATHWAY.

If you have any questions, please reach out to the Apex dedicated rep, Taylor, at taylor@apexpaymentsolutions.com

Email*

Practice Owner's First Name*

Practice Owner's Last Name*

Phone Number*

Practice Name*

State*

Estimated Annual Credit Card Sales*