Qualified Business Questions

Simply fill out these brief questions to see of your business qualifies to use Secure Check Services with no fees or costs.

1. Approximately how many checks do you accept per month?

Less than 10

11-50

51- 100

101- 200

200+

2. Is your business a single location or do you have multiple locations?

Single Location	Multiple Location
Please indicate how many locations.

3. What is your industry?

Retail	Professional Services	Medical	Dental	Legal
Landscaping	Household service	Restaurant	Hospitality	Othe

4. How long has your business been in existence?

New

Less Than 3 years

Four -6 years

7 years +

5. Do you currently have a system to handle returned checks?

Yes

Business Name
Contact Name
Address
Email
Phone