Visa payWave - VIP Customer Experience Report
payWave reader/register location - please provide a description of the register/reader that you used on this visit

Name of merchant

Approximate merchant address

Merchant city

Merchant state

select... Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip

Date of visit
Approximate time of visit

Your Name
Your email address
Your phone number
Your company name

Would you like us to contact you about this experience?

Yes

No

Which POS failed
In addition to the feedback you are providing regarding this experience, please provide us with the approximate location of the reader you're commenting on (e.g. pharmacy register, drive-thru reader, etc.).
Comments/description of your experience: