MSP Agent Qualification Questionnaire

WorldPay will determine suitability of the potential partnership i.e. - (economics, portability, risk etc) on a case by case basis, based in part by responses to the below questions. Please complete the below questionnaire as accurately as possible.

Your questionnaire will be submitted to to info@rbslynkisoandagentprogram.com. You may also print the form, complete, and fax back to 678-826-0901. Once the form has been received you will be contacted to discuss the program options in detail.

Business Name		DBA
Contact		Title
City		State	Zip
Bus. Telephone		Mobile
Email		Website
Fax		Entity Type
How did you hear about WorldPay ?
How many years in business as MSP / ISO / Agent ?
Are you currently registered with Card the association or not registered ?	Registered Not Registered
Describe current portfolio:	# of Merchants
	Average ticket
	Average monthly volume per merchant
	Average number of transactions pre merchant
Will you be looking to convert an existing portfolio as part of this relationship ? Yes No
Current orders per month from existing sales force?
Specific niche markets served -
What geographic area (s) do you cover ?
How many sales associates do you support ?
	1099
	W2
Business Forecasting summary
Average monthly order commitment to RBSWorldPay
What type of cost arrangement are you looking for ?
What type of revenue split are you looking for ?
What are you looking for currently not provided by your existing processor?
Are you interested in ATM program	Yes No
Additional notes or comments :
Click on the Submit Questionnaire button below to submit your information. You will then be redirected to our home page so you may continue to browse the website. Please don't hesitate to contact us at info@rbslynkisoandagentprogram.com should you have any questions. One of our representatives will be in touch with you shortly.