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Order Request Form
Short Term Hire Order Form

Feature Client

Glamorgan Cricket Club

Glamorgan Cricket proudly use GPRS Card Payment Terminals from 123Send to process their payments. In 2011 Finance Controller Peter Ghattas said he had been won over by the flexibility of the mobile terminals since the…

Order Request Form

Please complete the form below and one of our sales team will be in touch soon.

If you have hired from 123 in the past, please fill in the Short Term Hire Order Form. A dedicated online shop for all your hiring needs will be coming soon!

Your Details

First name*

Last name*

Telephone*

Email address*

Your Company’s Details

Company name*

Company address*

Company postcode*

What is the type of business ownership?

Please specify:

What type of goods/service do you provide?

Length of years trading

Years and months

Your Requirements

No. of terminals required

Are you interested in;*

Setting up a merchant account Switching supplier Mobile / GPRS Terminals Portable / Bluetooth Terminals Countertop / Fixed Line Terminals Short Term Hire Purchase / Long Term Hire Online Payments Roaming SIM card Other

Please specify:

Do you currently accept card payments?*

Yes No Other

Please specify:

What are you charged for processing credit cards? (%)

What are you charged for processing debit card transactions?

Please insert pence per transaction

Do you (or will you want to) accept customer not present transactions?

Yes No

And Finally...

How did you hear about us?*