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Corporate Name: DBA: Type of Business: How Long in Business: (yrs)    (mos) Average Visa/MC monthly volume: $ . Average Amex monthly volume: $ . Title:   * Contact Person: Best time to reach: Address Line 1: Address Line 2: City: State/Province:   Zip:  * Phone:   Ext:  Fax:  Cell:  E-mail address: Company web site: What Strip Club Financial Services services are you interested in? Please select all that apply: Immediate cash for today's credit card transactions Advance funding for future credit card sales Low-cost credit card processing and equipment Batch auditing system Pre-paid advertising Third-party check cashing Payroll service Invoice & ACH factoring Wire transfers, bill payments, bank checks or money orders Strip Club Financial Services's Preferred B-to-B Network Customer Loyalty Card Payroll Debit Card/Credit Card ATM Placement Check Cashing Other (please specify below) Enter your comments here: