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If you would like us to contact you, please take a moment to answer a few questions regarding your Web Site and what you are selling. By providing a general profile, you will offer iBill the opportunity to quickly determine which services may be appropriate for you. Once your inquiry has been received, you will get a rapid response e-mail offering specific information related to the iBill service(s) best tailored to meet your needs. You will also be provided with aditional contact information, so that you may inquire further, if needed. We thank you for your interest in ibill's unique turnkey Internet billing services and wish you the very best in your Internet venture.


Name
Email
Title
Company
Industry
Address 1
Address 2
City
State/Prov.
Country
Zip Code
Phone
Ext:
Fax
URL
Referred By
 
Please review the following descriptions and then select the answer that best describes what you will be selling.

Content: intangibles such as password protected information and resources.
Products: tangible items that must be shipped out to the customer.
Services: professional services, which do not require the customer to obtain a username and password and are not delivered via your Web Site. The service requires direct interaction between you and the customer.
 
 
Do you have an existing Internet Merchant Account with one of the following merchant banks? If yes, do you wish to use this merchant account for processing your internet transactions through iBill?

If yes, please select your bank and indicate below if you wish to use this merchant account for processing your internet transactions through iBill.
 
 
What is the status of the Web Site in need of an e-commerce solution?
 
 
If your site is taking transactions currently, approximately how much revenue are you generating each month?
 
 
How many Web Sites do you operate/control that are in need of an e-commerce solution?
 
 
Are you currently using another transaction processor which you would like to replace?
 
 
If so, which processor(s) are you using?
 
The companies are:
 
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