Contact Information To find out more about our merchant processing solutions, cash advance programs, and customized pos systems for your business, please fill out the form below and someone will contact you shortly. Please note that all fields marked with a * are necessary to complete your request. *Business Name: *Officer First Name: Officer Last Name: *Business Street Address 1: *Business Street Address 2: *City: *Zip Code: (5 digits) *State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY *Daytime Phone: Evening Phone: Fax Number: Website: *Email: Do you currently accept VISA/MC/Discover?: What is your monthly VISA/MC/Discover sales volume?: Average Sales Amount?: *Types of Products/Services You Sell: If you are a member of a Food Distributor Network, Restaurant Association, Comic Book Industry Association, Hotel/Motel Association, Petroleum C-Store Association, Non-Profit Organization, Salon Owner, Pet Groomer, or other qualifying group, enter the group name and/or promo code in the comment section to save 20% off your current discounts and fees: Enter comments here!

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CURRENT MERCHANT STATEMENTS
If you currently accept credit-cards, we request that you fax us at least your last two months merchant statements at our fax number: 1-954-337-0976. Your statements will help us analyze the various fees that you are currently paying to your merchant processor and we will be able to give you an accurate quote to help your business save money. Due to the frequent nature of
receiving illegible faxes, we prefer e-mailing the merchant statements to us at info@myapillc.com.  Please remember to put your business name, association, contact name and the phone number on the fax cover as well as the e-mail.

NEW MERCHANTS
If you currently do not accept credit-cards, please complete the form above and one of our account managers will contact you shortly. With our competitively priced hardware, quick setup and low discount rates, we will be able to help your business margins grow.