Most Dental Practices are being grossly overcharged for costs associated with credit card processing.

It's time for a credit card processing Rate Checkup!

Credit Card Processing Analysis Questionnaire

Name of Business/Practice*
Contact Person and Title*
Office Phone Number* Office Fax Number
Business Email*
Do you currently accept credit cards?
Yes No
Do you process through a credit card terminal?
Yes No
If processing through a terminal, what is the make and model number?
Do you currently accept ATM/Debit cards with a pin-pad?
Yes No
What percentage of your credit cards are:
Terminal Swiped % Key entered %