AtmScrip.com - Profitable Bankcard Acceptance
We offer Quality Cashless Atm Scrip Processing and Equipment!
FREE Atm Machine - Get a free machine placed in your retail
business at no cost to you! No out of pocket expense for qualified merchants.

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CASHLESS ATM Investment Opportunities!


The form below is for MERCHANTS ONLY, who own and
operate their own retail location.  If you are not a merchant
wanting to inquire about free placement, please Click Here
and go to our Contact Us page to send your inquiry.


FREE Placement Application for Merchants
The information collected on this form is to help us determine if your retail business
qualifies for a Free Placement program. All information collected is kept confidential.
Your Name:
Your Email Address:
Your Area Code + Phone Number:
What is Your Position
with the Company?:
How did you find our site?:
Please use this section to tell us more about your company
Company Name:
Corporate Office Address:
City of Corporate Office:
State:
Zip Code:
Corporate Office Phone Number:
Company Website Address:
(if not available, please type N/A)
Type of Business:
Number of Locations:
Average Sales Ticket
(average amount of each sale):
Average Daily Traffic Count:
Do Locations Accept Credit Cards?:
How many years has the
Company Been in Business?:
Annual Sales (each location):

Thank You for Inquiring about our Program!
Please provide any additional information about your company that would be helpful.
If you have any questions or concerns that you would like to have addressed, please include them as well.  (This Section is Optional)



 

Please click just one time, and give the form a few seconds to send the information.
All Inquiries are Kept Confidential, and are Not Shared with any Third Parties.


By submitting your e-mail address, you agree to receive occasional
e-mail reminders about our services.  You may unsubscribe at any time by
replying to any message with "REMOVE" in the subject line.
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