Online Quote Request Form

An experienced Sales Representative will contact you within one business day of the submission of our online quote request form with a customized rate plan for credit card processing services from PPG, Inc. We respect your privacy and will never share the information we collect on our website with any third parties.

This form contains 27 questions and typically takes 2 minutes to fill out. Bold type indicates required fields.

Tell us about your business
Business Name
Street Address
City
State
ZIP Code
Phone Number
Fax Number
Website Address
Please enter the type of establishment your Business is legally registered as.Business Type
Plese select the option that best describes the marketing strategy you utilize to reach your customers. Market Type
Please describe the merchandise or services you sell, e.g. coffee machines or spa services. Products or Services Being Sold
Age of Business	Years
Do you currently accept credit cards?	Yes No
If Yes, Name of Current Processor
Please estimate your average monthly revenue including cash, check, and credit card sales. What is your total monthly sales volume?
Please estimate your average total monthly volume in credit card sales. Enter "N/A" if you do not currently accept credit cards. What is your total monthly Bankcard volume?
Please estimate the average amount per sales transaction, including all taxes. What is your average ticket amount?
Estimate the percentage of credit cards that are keyed in manually (as opposed to swiped). Internet and MOTO merchants, enter "100". What approximate percentage of credit cards are keyed in?
Has the Owner(s) or Business ever filed bankruptcy?	Yes No
Are there any unpaid judgments aganst the Business or the Owner(s)?	Yes No
Is the Business or the Owner(s) on any national credit card derogatory file?	Yes No
Tell us about yourself
Contact Name
Email Address
Phone Number
Alternate Phone Number
What is the best time to contact you?	Morning Afternoon Evening
Do you have any special requests you would like us to know about?
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Online Quote Request Form

Tell us about your business

Tell us about yourself

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