This is a form
for businesses located in the USA that are interested in purchasing an ATM
business owners wanting an ATM placed at their location. .
Please fill out all fields as best you can then click on Submit at
the bottom of the page when ready to send.
All information is kept strictly confidential.
First, the person who
is filling out this form is:
Please fill out all questions.
Please list a phone number for us to contact you.
appreciate your interest in our company!
How many ATMs are you interested in?
I do not need an ATM at this time. I need ATM processing for my ATM.
How many people come into your business each day.
models of ATM are your interested in? Use your control key to select more
type of business do you operate where you want to put this ATM?
you interested in buying, leasing to own, or having an ATM placed at your
Lease to Own
Other (please specify):
How soon do you want an ATM?
else you would like to tell us or comment on? When is the best time to contact
contact information, or business location information:
Name of Business
Business Street Address
Preferred phone number we can reach you at