Enter to Win

A Luxury Designer Purse

First Name *

Last Name *

Email *

Phone *

Business Name *

Best time to reach you: *

Morning

Afternoon

Anytime

1. How confident are you in your current payment provider’s stability?

Very confident - no concerns

Somewhat confident - occasional issues

Not confident - worried about holds or shutdowns

Unsure - haven't really evaluated it

2. Have you experienced any of the following in the past 12 months? *

3. What percentage of your transactions are Card-Not-Present (online, phone, subscriptions)? *

0–10%

10–30%

30–60%

60%+

4. Are you currently using any of the following to optimize revenue or reduce fees? *

Dual pricing / cash discount

Subcharging

None of the above

Not sure

5. If there was a way to improve your approvals and reduce fees, how interested would you be in exploring it? *

Very interested – would like to speak with someone

Somewhat interested – open to learning more

Not interested at this time

Depends on the effort required

6. Would you like a complimentary payment analysis for your clinic? *

Yes

No

By checking this box, I agree to receive account-related and promotional messages from USAPayments via text and email. Consent is also required for participation in the raffle. Reply STOP to opt out of texts or HELP for assistance. We will not be able to contact you if you do not agree.

Winner will be drawn on April 15, 2026 and contacted via email and SMS. The winner agrees to be featured in USA Payments' social media and marketing promotions. If the prize is not claimed within 5 business days, a new winner will be selected and contacted until the prize is claimed.