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A True Payments Partner
Thank you for your interest in Shift4 Payments. Every day, tens of thousands of merchants rely on our technologies for fast, reliable, and secure transactions through our payment gateway. On top of that, our all-in-one payment processing and merchant services package is second to none. Request a quote today to find out how our payments offerings can empower your business!

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A Complete Payment Solution
Shift4 Payments provides merchants of all sizes and industries with a single solution that includes:

  • Secure gateway connection
  • Point of sale integration
  • Point-to-point encrypted (P2PE) EMV devices
  • Full merchant services
You may even qualify for free (or discounted) EMV terminals as well as reduced or waived gateway or setup fees!

Thank you again for stopping by to request a quote from Shift4 Payments.

Shift4 * Indicates a required field
Please enter the name and information for the merchant.
*Company Name 
*Postal Code 
Please enter the primary contact's information for the merchant.
*First Name 
*Last Name 
*Main Phone Number 
Mobile Phone Number 
Tell us more about the merchant.
*What services are you interested in? 
Does the merchant have an existing POS/PMS system? 
Yes No
Number of Locations 
Number of Years in Business 
Please check all merchant types currently utilized.
     Food & Beverage
     Mail Order/Telephone Order
     Auto Rental
*Average Ticket (estimated) 
Highest Ticket (estimated) 
Monthly Volume (estimated) 
*What is your current relationship with the prospect? 
     Prospect is in an active sales process for my software. Contract
is expected to close on:
     Prospect is not currently using, but is contracted to use, my
software. Projected go-live date is:
     Prospect is already using my software. 
     Prospect is changing their version of my software, prior to Shift4
installation. Projected go-live date is:
Are any security peripheral devices needed? (e.g., SRED entry/swipe device,
PIN pads, etc.)?
   Yes    No
If yes, list equipment types.
Acquiring Bank
Referral Name
* Verification Code:
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