TPG Business Payments Company Information Legal Company Name State of Incorporation Federal Tax ID Legal Entity TypeLegal Entity TypeLLCLLPCorporationGeneral PartnershipNon-Profit Physical Address Company Type / Industry City State Zip Code Business Inception Date Payments Overview Annual Business Revenue (Gross) Average Monthly Revenue (Gross) Approx. Monthly Transactions (Quantity) Average Transaction Amount Number of Payment Locations Do you currently accept electronic payments? Current Payment Processor (Optional) Do you currently use a POS or commerce system? Current POS / Commerce System (Optional) Primary Customer Payment MethodPrimary Customer Payment MethodCredit / Debit CardsACH / Bank TransferInvoice / Accounts ReceivableCash / CheckE-Commerce / Online PaymentsOther / Mixed Business Systems & Environment Do you use accounting software?Do you use accounting software?Cloud-BasedDesktop / Locally InstalledBoth / HybridNoNot Sure Accounting software? (Optional) How is your business technology primarily managed? How is your business technology primarily managed?Cloud / SaaSLocal Computers / On-PremisMix of Cloud & LocalNot Sure Are your payment/POS and accounting systems connected? (Optional)Are your payment/POS and accounting systems connected? (Optional)Yes - IntegratedPartiallyNoNot SureNot Applicable Do you manage inventory?Do you manage inventory?NoYes - Single Location / Retail / FulfillmentYes - Multiple Locations / WarehousesYes — Complex Inventory / Wholesale / Distribution Who primarily manages your business technology? (Optional)Who primarily manages your business technology? (Optional)Internal IT StaffOutside IT Provider / MSPOwner / EmployeesMultiple ProvidersNo Dedicated SupportNot Sure Type of Business OperationsType of Business OperationsSingle LocationMultiple LocationsMobile / Field OperationsOnline / E-CommerceWarehouse / DistributionCombination Do you need help with the technology supporting your payment or business systems?Do you need help with the technology supporting your payment or business systems?NoConnectivity / InternetWi-Fi / NetworkingComputers / DevicesPhysical Security / Access ControlManaged Network ServicesOngoing IT SupportNot Sure Business Needs What else could help your business?What else could help your business?Payments & Merchant ServicesManaged IT & CybersecurityCommunications & ConnectivitySoftware, Data & AITechnology Integration & AutomationWorkforce Development & TrainingRecruiting & StaffingBusiness Operations & Process ImprovementSales & Business DevelopmentMarket & Opportunity IntelligenceProfessional & Advisory ServicesStrategic PartnershipsTariff Cost Recovery / RefundsOtherNot Sure / Let’s DiscussNothing Else Right Now What is the biggest challenge facing your business right now?What is the biggest challenge facing your business right now?Reducing CostsIncreasing Revenue / SalesImproving Cash FlowOutdated / Inefficient TechnologyDisconnected Systems / Manual ProcessesPayment / POS ProblemsInventory / Operational EfficiencyStaffing / Workforce ChallengesCybersecurity / RiskScaling / GrowthNew Location / ExpansionCustomer Acquisition / MarketingReporting / VisibilityVendor / Provider ProblemsOtherNot Sure Primary Contact First Name Last Name Email Phone Title / Role Preferred Contact MethodPreferred Contact MethodEmailPhoneEither Additional Information Additional Notes By submitting this request, I certify that I am authorized to provide information on behalf of the business identified above and that the information provided is true and complete to the best of my knowledge. I authorize The Powers Group, LLC (“TPG”) to use this information to evaluate the request, identify potential solutions, and communicate with me regarding this request. I understand that additional information, documentation, or provider-specific applications may be required before services can be established. I certify that I am authorized to submit this request and agree to the certification above. I certify that I am authorized to submit this request and agree to the certification above.I am authorized We only use your information to support your request. We don’t like spam either. SUBMIT REQUEST