Does taking Direct Debits catch your interest?
July 2009
Any method of taking payments that keeps you in control, benefits your customers and maintains all reasonable safeguards has to be worthy of attention.
We are considering development of a direct debit module and would like to know your opinion as to whether this would be useful for you. We would be grateful if you would answer the following few questions which will only take a minute of your time and will provide us with valuable feedback. Thank you.
[[form name="contactform" method="post" action="submitform.pl" ]]| Do you currently take any recurring payments from your customers? | [[input type="radio" name="1.Take_Recurring_Payments" value="Yes" /]]Yes [[input type="radio" name="1.Take_Recurring_Payments" value="No" checked /]] No |
| Do you currently have the ability to take payments by Direct Debit? | [[input type="radio" name="2.Have_Facility_to_Take" value="Yes" /]]Yes [[input type="radio" name="2.Have_Facility_to_Take" value="No" checked /]]No |
| Would you prefer a system that is integrated into the accounting system or entirely stand-alone? | [[input type="radio" name="3.Type_of_App" value="Integrated" checked /]]Integeated [[input type="radio" name="3.Type_of_App" value="Standalone" /]]Stand-alone |
| Please provide your contact details if you would like more information as it becomes available | |
| Name | [[input type="text" name="A. Name" value="" maxlength="100" style="width:200px;"]] |
| Company | [[input type="text" name="B. Company" value="" maxlength="200" style="width:200px;"]] |
| Telephone | [[input type="text" name="C. Telephone" value="" maxlength="100" style="width:150px;"]] |
| [[input type="test" name="D. Email" value="" maxlength="200" style="width:200px;"]] | |
| Comments or additional information | [[textarea name="F. Questions or Comments" style="width:200px;height:120px;"]][[/textarea]] |
| [[input type="hidden" name="F. Action" value="This is a form submission regarding Direct Debits"]][[input type="hidden" name="email" value="D. Email"]] [[input type="hidden" name="redirect" value="contact_thanks.html"]] [[input type="hidden" name="subject" value="Response from the website DD questions"]] | [[input type="submit" name="Submit" Value="Submit Form"]] |
[[/form]]
Your opinions are appreciated and always treated as confidential.