READY TO PAY SUPPLIERS FASTER, CHEAPER, AND ELECTRONICALLY WHILE GENERATING A NEW SOURCE OF REVENUE? YES? Then, let's go! Start by completing the short questionnaire to determine if your company qualifies. FILL OUT THE FORM TO GET STARTED First Name Last Name Business Name Your Phone Number Your Email Question #1: What is your company’s top line revenue range annually? Less than $50,000,000/annually $50,000,000 to $200,000,000/annually $200,000,000 to $500,000,000/annually $500,000,000 to $1,000,00,000,000/annually $1,000,000,000,000+/annually Question #2: How many suppliers does your company have? Less than 400 suppliers 400-2,000 suppliers 2,000-5,000 suppliers Over 5,000 suppliers Question #3: Does your company currently use paper checks to pay suppliers? Yes No Question #4: Does your company offer electronic payments to suppliers today (examples: Virtual Credit Card; ACH/EFT; Supply Chain Finance; Dynamic Discounting, etc.)? Yes No Question #5: Is your company interested in standardizing supplier payment terms? Yes No Question #6: How many times per month does your company pay suppliers (example: the total number of 'check runs')? (select only one) 1-4 payments per month 5-8 payments per month more than 8 payments per month Question #7: Is your company interested in generating a NEW source of revenue? Yes No