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Reference Code (if you have one) Merchant Contact Info Administrative Contact Name Company Name Address City, State (province), ZIP Phone No. (+ Area Code & Extension) Fax No. (+ Area Code) Email Address http/web-site address (if any) Business Info I currently accept credit cards (check all that apply) Visa/MC Amex Discover Diners Gusto I would like to accept credit cards on the web portal (check all that apply) Visa/MC Amex Discover Diners Gusto I would like the ability to accept checks on-line I would allow non-secured cash transactions on-line I would like to have the portal linked-through from my web-site I do not have a web-site and would like to be placed within the eat2go network directory I would like a web-site developed for me I have a dial-up ISP provider (connection to the Internet) via a dial-up modem I have a broadband provider (connection to the Internet) DSL, Dish, Cable, etc. I have a POS system and network in my establishment, and would like to print to a remote printer, if my POS provider allows this I would like a separate receipt printer wireless, or otherwise connected to my PC I will print the arriving orders on a standard printer connected to a PC I would like to receive my orders by fax and I will administer (start/stop/make changes) to my portal from another location or by someone else I do not have any seating availability I have locations that I would like to connect to the eat2go portal. My business classification is: Select One American Argentinian Bagel Shop BBQ Chinese Continental Indian Italian Japanese Jewish Mexican Pizza Shop South American Sandwich Shop Tex/Mex Thai/Japanese West Indian Other My average check is: Select One Under $10 $11 - $15 $16-$20 $20-$25 $26-$30 $31-$40 Over $40 We would like to provide images of our product lines for the eat2go portal We can perform rudimentary data entry and/or we are somewhat familiar with Information Technology and/or we have a POS system currently running which is managed in-house I would like information regarding a POS system We definitely need an affiliate to help us because we do not have enough time, and/or unfamiliar with this type of technology and/or we are sure someone that does this all the time will do it better. Please send me more information regarding eat2go/initiate contact with me and/or consider me as someone that recognizes the benefits of eat2go, the incremental sales and the exposure it generates and the future direction of the industry. To complete your submission, enter code to your left: Should you mistype it, you will be returned here for another try. Why is this here? Unfortunately, this had to be implemented in order to stop auto-submitters from automatically registering businesses from other domains and attempting to charge a premium.
Please send me more information regarding eat2go/initiate contact with me and/or consider me as someone that recognizes the benefits of eat2go, the incremental sales and the exposure it generates and the future direction of the industry.
