No Obligation Business Cash Advance Pre-Application
Owner Name:

Business Name:

Business Address:
City:
State:
Contact Phone Number:
Alternate Phone Number:
E-mail:
Are you currently processing Visa / MasterCard:
If yes, current Visa / MasterCard monthly volume:
Current Visa / MasterCard monthly gross sales:
Product / Service Sold / Offer
Year Business Started
Comments:
    
Final approval is subject to receipt by us of an executed Merchant Processing Application and Agreement.  
Rates, fees, and promotional programs are subject to change without notice.
We only sell equipment to merchants with an approved LEADERS merchant account.
Certain exclusions apply. Ask your sales representative for details.

LEADERS is a registered ISO/MSP of
Wells Fargo Bank, N.A., Walnut Creek, CA
American Express and CheckPoint require separate approval.
(C) 2007 - 2010 Leaders Merchant Services, LLC
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