U.S. Merchant Inquiry

First Name Mandatory field

Last Name Mandatory field

Email Mandatory field

Telephone number Mandatory field - No special characters (-/.,) are needed.

State ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYMandatory field

Business name Mandatory field

Comments

By providing us with an email address you are expressly consenting to receiving email communications — including but not limited to Marketing material/Advertising, Promotions, Sales Campaigns, and Questioner/Research Surveys. By providing us with a telephone number for a cellular phone or other wireless device, including a number that you later convert to a cellular number, you are expressly consenting to receiving communications — including but not limited to prerecorded or artificial voice message calls, text messages, and calls made by an automatic telephone dialing system—from us and our affiliates and agents at that number. This express consent applies to each such telephone number that you provide to us now or in the future and permits such calls for non-marketing purposes. Calls and messages may incur access fees from your cellular provider.