Affiliates 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: Title: Please select your title Mr. Ms. Mrs. Miss Business Name: Last Name: First Name: Address 1: Address 2: City: State: 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? Please select an answer No Yes If yes, please indicate which company:

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