NPS® PAYMENT PROCESSING

YES! I am interested in utilizing EFT for my business!

Please check the appropriate box:
EMAIL me an NPS® EFT Express sm application!
FAX me an NPS® EFT Express sm application!
Please have an NPS® ACH Services Account Sales Manager Call me!

NPS® ACH Services Processing Quote
Thank you for your interest in our EFT program. Please complete in order for us to properly fullfil your request:

Company:

Your Name:

Title:

Address:

City:

State/Province:

Zip/Postal:

Phone#:

Fax#:

Email:

Business Description:

Please check all that apply:

We process ACH transactions with another processor.

We currently accept credit cards.

We accept orders over the phone.

We accept orders over the internet.

Estimated ACH Transaction activity

Transactions/Month:

Average Transaction $amount:

Low/High Amount:

Customer Type:

% Membership or regular customers:

% One time sale / non-recurring:

Source of Sales:

% Retail or walk-ins:

% Direct mail / statements:

% Telephone / Fax:

% Internet:
=100%

Recurring Info:

% Customer charged same amount each time:

% Amt. $ varies each time customer is charged:

How did you find us?:

Please, specify search engine keywords
(if applicable):

Additional Comments

THANK YOU FOR YOUR INQUIRY.
THE NPS® SALES CENTER WILL RESPOND TO YOUR INQUIRY WITHIN 48 HOURS!