We’re Here to Help! Have questions? Please fill out this form and we will get back to you within 24-48 hours. If this is an urgent matter please contact Customer Support: Support (888) PAY-QWICK(888) 729-7942 Office Hours Monday through Friday:9:00am to 5:00pm PST Name* First Last Email* PhoneReason for Inquiry*Select your reason for inquiryGeneral InquiryCustomer SupportSales InquiryUnfamiliar Bank ChargeAccount Type*Choose your account typeBusinessConsumerBusiness Name*Merchant ID*Charge Date* Charge Amount*Type of Business*Select your business typeRetailerSupplierDistributorAncillaryOtherAre you currently in business?*YesNoPlease select the State of operation* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Message*CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
