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Central Merchant Services Inc. offers an incredible affiliate program that allows the referring of customers to Central Merchant Services at a profit. We pay on the referring of customers, upgrades and any purchases from that customer in the future. To become an affiliate with Central Merchant Services simply complete the following information below. A special affiliate ID # will be assigned to you. To sign-up as an affiliate please complete the information below.

Please complete the following:

Business Name:
Last Name:
First Name:
Address 1:
Address 2:
Zip/Postal Code:
E-mail Address:
Day Telephone:
Evening Telephone:
Contact Method: E-mail Telephone
How did you hear about Central Merchant Services?
Number of deals per month:
Are you currently working with a credit card processing company?

If yes, please indicate which company:

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