ShipRite Sales Referral Form

Sales Representatives – Please use this form to enable Global Payments Integrated to track and report on the status of your merchant lead referral. A representative will contact your referral shortly.

* = Required

Referral Contact Information

First Name *

Last Name *

Title/Position

Business Name *

Email *

Phone *

Tell us any information relevant to this customer that would be helpful for our merchant sales team.

Customer Type

Existing New

Representative Information

Rep First Name *

Rep Last Name *

Rep Email *

Rep Phone