Tell us about your firm — we'll follow up with a compliant surcharge proposal built around your actual processing volume.

Firm & contact details

Who should we follow up with?

Firm name is required.
Please enter your name.
Please enter your role.
Enter a valid email address.
Phone number is required.

Firm profile

Helps us route your account through the right compliance path.

Select firm size.
Select at least one practice area.
Highlighted states restrict surcharging — we'll route those accounts to a compliant flat-rate structure instead.
Select at least one state.
Please select an answer.

Processing profile

This is what we use to build your surcharge economics.

Please select your current processor.
Select an estimated monthly volume.

Referral, timing & review

Last few details, then confirm everything looks right.

Please select an option.
Please select a timeframe.

Request received

A member of the Verisurge team will follow up within one business day.

INTAKE #
Firm
Monthly volume
Current processor
StatusPending review
We'll route your account to the correct compliance path before we call.

What happens next

  • 1. Have your last 2–3 monthly processing statements ready — they're what let us build an accurate savings proposal instead of a rough estimate.
  • 2. We review your processing profile and confirm surcharge eligibility for your state.
  • 3. You'll get a proposal showing your actual savings versus your current processor.
  • 4. If you're ready to move forward, we handle the migration — including the QuickBooks sync setup.