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Merchant Supply Order Form :

ATTENTION MERCHANT: VISA and MASTERCARD REQUIRE that in all card present/manually keyed sales you must get an imprint of your customers card to prove that the card was present in the event of a charge back dispute. This can be done in many different ways, including making a photocopy of a card, or running a pencil over a piece of paper and a card to capture the numbers and card holder’s name. If you would like to order a manual imprinter, sales drafts, or credit slips, please complete the order form below press SUBMIT.

 

Merchant Item Qty Amount
Medium (Desk Type) Imprinter Kit: Model 4850
(Kit includes imprinter, merchant plate and a pack of 100 2 part sales drafts)
$42.95*/each.
Small (Purse Size) Imprinter Kit: Model 990
(Kit includes imprinter, merchant plate and a pack of 100 2 part sales drafts)
$48.95*/each.
Merchant Plate (Desk Type) 15 Characters, 5 lines.
$8.00*/each
Merchant Plate (Purse Size) 15 Characters, 3 lines. $8.00*/each
Pack of 100 (2 part) sales drafts.
$8.00*/each
Pack of 100 (2 part) Credit slips.
$8.00*/each
Visa/MasterCard Sticker(5.5x4.5 overall)
$2.50*/each
Check Guarantee/Deposit Authorization Stickers
(Check merchants only)
  
*PRICES ARE SUBJECT TO CHANGE*    
GRAND TOTAL $  
   
Business Name
Ordered By 
Ship to Address
City
State
Zip
Business Phone
Email  Address
 

 
 
 
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