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Name
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First
Last
Phone
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Type of Business
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Q. How much capital does your business need?
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3,000-$10,000
10,000-$50,000
50,000-$150,000
150,000-$250,000
$250,000+
Q. What are your average monthly TOTAL sales (including Credit Cards)
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0-$10,000
10,000-$50,000
50-$150,000
150,000-$250,000
$250,000+
Q. What are your average monthly Credit Card Sales
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0-$10,000
10,000-$50,000
50-$150,000
150,000-$250,000
$250,000+
Q. Does your business accept credit cards?
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Yes
No
Q. How long have you owned your business?
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0-6 Months
6-12 Months
1-2 Years
2-5 Years
5+ Years
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