Request Information

Prefered Method Of Contact:

Phone

e-Mail

Type Of Business:

Credit Cards Accepted:

VISA

MC

AmEx

Discover

(Check all that apply.)

Is your company using a form of auto payments such as:

ACH/EFT

Auto-debit payments

Are your customer billing system/records computerized?:

Yes

No

How Do You Bill:

By Invoice

Monthly Statements

Terms?:

Immediate

Net 7

Net 30

Net 30-60+

Receivables time units:

Days

Weeks

Months

Would you like to reduce the collection time of your Receivables?:

Yes

No

Yes, please have a NCFS representative contact me regarding the following services:

ACH/eCheck capabilities

Credit Card/Merchant Services

National Cash Flow Systems