ATM Fast Approval Form
 800.875.7464

Please fill in all fields that apply
We do not share or sell your information

Your Name
Business Name
Type of Business
Address
City
State
Zip
Location Telephone
Cell / Mobile Number
Email Address
Type of Free Placement Cashless Cash
Store Number
Daily Customer Foot Traffic
Days & Hours Open
Average Check
Monthly Sales
Distance to Nearest ATM

For Hotels - Please Answer the Following:

No. of Rooms
Occupancy 
Full Service
Type of Location
Business Street Address
Chain? Yes
Corp. Name:
How Many Locations? 
Interested in Free Placement   Purchase  
Lease   Processing Only
Questions / Comments
How were your referred?

 

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