ATM Services - Sales & Processing 888-ATM-EXPERTS

ATM Systems, LLC
Fairshares LLC is Sponsored By First Financial Bank

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To Get Started, Please Tell Us About Your Business:

Use the form below to tell us about your business location(s)

Once reviewed, you will be contacted by an ATM specialist

If you have any questions, or would like to contact us directly, please call 800-658-7571

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START HERE (please fill out form completely)

*1) Type of ATM Service Requested: (Please Check All That Apply)

Free ATM Machine Placement

50/50 Partnership

*2) Type of Location:

*3) Number of Daily Visitors:

*4) Number of Daily Foot Traffic in Front of Your Location:

*5) Forms of Non-Cash Payment Accepted at Your Location:

	Checks
	Debit Cards

	Credit Cards
	Other forms of "non-cash" payment

*6) Do you currently have any ATM Machines Installed at Your Location?

Yes

*7) Are Any ATM's Available Near Your Location, Such as Banks, Convenience Stores, or Outdoor ATM's?

Yes

*8) What type of ATM Machines are you considering?

*9) Describe the Area Around Your Location:

10) Please provide us with any other info you feel will help us understand your business environment better, such as an ATM machine right next door, a bank ATM down the street, etc.

Additional Comments:

*Your Information

First Name:

Last Name:

Email Address:

Phone Number:

Fax Number:

*Your Company Information
	Company Name:
	Address:
	City:
	State:
	Zip: