| First Name: | |
| Last Name: | |
| Company: | |
| Title: | |
| City: | |
| State/Province: | |
| Headquarters*: | |
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*What state/province is your company’s headquarters located in? |
| Country: | |
| E-mail: | |
1. Approximately how many non-payroll payments does your organization make on an annual basis?
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2. Are you making any payments via ACH today?
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3. If you are making ACH payments today, which, if any, of the following challenges has your organization experienced? (check all that apply):
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