Merchant Contact Form

Merchant Legal Name (required)

Merchant DBA Name (required)

Email Address (required)

Phone (required)

Address (required)

City (required)

State (required)
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP (required)

Merchant Type (required)

Processing Type (required)

Merchant Contact Name (required)

Merchant Contact Name Position

Merchant Website (required)

Last Update Would you like to energize your Website?


YesNo

Priority (required)
Immediate2-4 weeksNot sure
Desired Go-Live Date (required)

Is the business operational?
YesNo
Current POS and how are they set up (required)

Current Processor (required)

Which ROMPOS features are you most interested in? (required) (choose one or multiple)
ROMPOS all-in-one business solutions, engineered by industry professionals, enable businesses to operate more efficiently while generating additional revenue. We combine business intelligence, artificial intelligence and human intuition for unprecedented results.

ROD (Revenue On Demand): ROD is a next generation tool, built on BI by AI, ROD enables local businesses to compete against global conglomerates. Micro target marketing campaigns are autonomously deployed to drive revenue.Analytics. ROMPOS provides the most sophisticated analytics.Point Of SaleKash on DemandPayment SolutionsEfficiency SolutionsPoint of Sale SolutionsAnalyticsInventory ManagementStaff ManagementPayment Processing SolutionsTraditional Payment ProcessingCash Discount ( customer pays processing fee)Financing SolutionsMarketing SolutionsLooking for customer facing signature captureSelf Service KiosksReservation and Appointment ManagementAccess and Visitor managementHealth and Wellness SolutionsBusiness Consulting Services

Describe your biggest pain points with your current system (required)
Insufficient ReportingOutdated TechnologyExpensive Merchant Processing FeeStaff ManagementLack of Automation

ISO/Agent Referral (required)