TSYS Referral Form

Contact Information

First Name*

Last Name*

Phone Number*

Email*

Verify Email*

Job Title*

Company*

Street 1*

Street 2

City*

State*
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Zip Code*

Current Processing Information (Optional)

Credit Card Processor(s)
TSYS

# of Merchants activated with Credit Card services monthly
1-1011-2525+

Check and ACH processor

# of Merchants activated with Check and ACH services monthly
1-1011-2525+

Primary POS Terminals

Other Virtual Terminals/Gateways

Information About Your Company Needs (Optional)

Inquiring about
Check and ACH processingGift & Loyalty Card ProcessingBank Card Processing

How did you hear about Paya Services?

Additional Questions/Comments (Optional)