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Your business website URL:
Type of Business:
How long have you been trading?
Number of full time employees:
Please briefly describe the nature of your business:
Shopping Cart Information
Shopping Cart Name:
Other versions of this cart available:
Other Payment Service Providers you link to:
Is this an ASP solution?
Is this a Shareware solution?
Preferred Operating System:
Is software hosted by:
Is this software sold as a boxed product?
Telephone support number if available:
Give details of any charge for telephone support:
Additional Information Link:
Where did you hear about WorldPay?
Editorial in Computing Press
Editorial in National Press
Advertisement in Computing Press
Advertisement in National Press
Word of Mouth
Via Barclays Bank
Via NatWest Bank
Via Lloyds Bank
Via Royal Bank of Scotland
Saw Logo on Web site
Found Site Address in Browser
Target customer group (e.g. SME):
Number of customers:
Number of projected customers over the next 6 months:
Geographical location of your customers:
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