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Earn $100

Simply use this form as often as you like to give us the names and contact information of merchants you know. Then, just let them know we'll be calling. For every one of these merchants who begin processing with Merchant Services USA MERCHANT SERVICES USA, we'll send you $100. And our gratitude.

I would like to refer the following businesses to Merchant Services USA MERCHANT SERVICES USA:

Merchant Name

Business Name

Telephone
Merchant Name

Business Name

Telephone
Merchant Name

Business Name

Telephone
Merchant Name

Business Name

Telephone

Please pay me $100 for each of the above business, when they sign
with MERCHANT SERVICES USA:


My Name

Business Name

Best way to reach me:

By email to

By telephone to

Please mail my check to

Please email this form to
Info@MerchantServicesUSA.com or
Fax it to 888-822-4446

Merchant Services USA

Upon activation and receipt of first batch.



To download a printable form click here

Let us reach out to you! Please provide contact info below.

Business Name: (Required)
Contact Name: (Required)
Phone Number:
Best Time To Call:
Email: (Required)
Fax:
Comments:




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