LMS :: Merchant Questionnaire

Contact Us

Contact Name:
Merchant / Business Name
Phone Number
City	State ZIP
Your E-Mail Address
Currently Accepting Credit Cards?	Yes No
If existing LMS customer, Merchant #
Product or Service Sold?
Number of Years in Business
Are you a Franchise?	Yes No
Are you part of an Association?	Yes No
If so, please include Assocation Name
Your Comments or Questions

How to Contact

General Contact
You may email us your questions or complete the Merchant Services Questionnaire and an Account Executive will contact you. Thank you for your interest in LMS.

LaSalle Merchant Services (LMS)
5829 Executive Drive, Suite 3
Lansing, Michigan 48911

Sales: 1.877.434.2194
Service: 1.800.848.3213

Email: dg.sales@lasallems.com