Skip to main content
Thrive Payments
Home
Contact Us
855.794.2602
Menu
Why Thrive?
Why Thrive?
Price
Service
Data Security
Markets Served
Markets Served
Community Banks
Credit Unions
Grocery
Enterprise Level Solutions
Products & Services
Products
Mobile Payments
Tablet-Based POS
Point of Sale (POS) Integration
Semi-Integrated POS Gateway
Prepaid Cards & Accounts Receivable
Security & Fraud Prevention Solutions
How We Help
How We Help
Perfect for Small Business
Enterprise Level Solutions
Customized for Your Business
Get Started Today
Helpful Resources
Our Company
Our Company
Partners
Careers
News & Events
Thrive Blog
Merchant Services Referral Form
Contact Us
You are here
Our Company
>
Merchant Services Referral
Merchant Service Referral Form
Referrer Information
Referrer Name
*
Referrer Branch/Dept
*
Referrer Email
*
Company Information
Company
*
Business Owner’s Name
*
Street
*
City
*
State/Province
*
Zip
*
Industry
*
--None--
Agriculture
Apparel
Banking
Biotechnology
Chemicals
Communications
Construction
Consulting
Education
Electronics
Energy
Engineering
Entertainment
Environmental
Finance
Food & Beverage
Government
Healthcare
Hospitality
Insurance
Machinery
Manufacturing
Media
Not For Profit
Other
Recreation
Retail
Shipping
Technology
Telecommunications
Transportation
Utilities
Existing Dep/Loan Customer?
*
--None--
Yes
No
Website
*
Current Merchant Provider
*
Can Provide Current Merchant Statements?
*
--None--
Yes
No
Estimated Annual Sales Volume:
*
--None--
Up to 100K
100 - 500K
Over 500K
Terminal Type
Point of Sale Software Type
Additional Notes
Contact Information
Contact Person's First Name
*
Contact Person's Last Name
*
Contact Person's Title
*
Phone
*
Email
*
* Indicates Required Field