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First Name
Last Name
Business
Title
Email
Phone
BACK END SOURCE
Please select...
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We'd love to say "Thanks!" to the person or organization who referred you to Dharma.
What's more common?
Please select...
In Person Transactions
Keyed / Online Transactions
What are you selling?
Business Classification?
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Retail
Healthcare
Charity / Non-Profit
Restaurant / Quick-Service Food
Business-2-Business
Education
Lodging
Business Website
Average transaction size
$
What's a typical sale size? Value should be smaller than Monthly Volume
Monthly credit-card volume
$
How much credit card volume do you process? Value must be larger than Average Ticket
Do you currently take cards?
Please select...
Yes
No
Upload a processing statement, and get a free cost-comparison!
Click the "Upload Another" button on the right to upload multiple files.
How did you hear about us?
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4aGoodCause
Authorize.Net Reseller Page
B Corp
Beneficial State Bank
Best of Category Reviews
BestCompany
BizBrain
CalNonprofits
Card Payment Options
CSAware
Customer Referral
FaceBook
Fit Small Business
Google
Maine Federation of Farmers Markets
Merchant Maverick
Other
TechSoup
Green America
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” you agree to share your personal and business data with Dharma Payments LLC, for our use in determining if we can support you with a merchant processing account. Submission does not guarantee you will be approved for an account. If Dharma is unable to support you with a merchant processing account, we may, at our discretion, share basic contact information with a partner who may be able to support you. If we do, you will be informed, and that partner will contact you directly. If you do not agree with these terms, please close the window without clicking Submit and your data will not be captured or saved
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