Pre-Qualification Form

First Name *

Last Name *

Business Title *

Business Name *

Phone *

Email *

Address

City

State

Postal code

Website

How many business locations are there?

What system does your company use to process transactions?

Is your system a terminal, a POS, or a Gatway?

Terminal

POS

Gateway

Do you need system hardware?

Yes

No

Do you sell products or services online?

Yes

No

Does your business sell B2B, B2C, or both?

B2B

B2C

BOTH

Are you open to using our Edge Program?

Yes

Maybe

No

Notes

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Email: info@summitnatadv.com

Summit National Advisors