1 800-365 FLOW (3569)
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sales@banqone.com
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TELL US ABOUT YOURSELF AND YOUR CLUB
Business Name:
Contact Name :
Position at Club:
Owner
Manager
Consultant
Contact Email Address:
Select Location Type:
Downtown/Urban
Suburban
Rural
Average Monthly ATM VOLUME:
Average Monthly $ 1 Bills Ordered:
Average Surcharge On ATM:
Do You Own & Cash Your ATM Yourself?
Yes
No
What ATM Company Do you Use?
% of ATM Surcharge Retained by Club (Split)
100
50/50
60/40
70/30
80/20
90/10
Club State:
Club Zip Code:
Cell Number:
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