Merchant Price Quote Form | PCI Compliance

Please complete the following form as accurately and completely as possible. Once completed, use the button at the bottom of the form to submit the information to Sunera. After submitting the form you will be redirected to Sunera's PCI Services page and receive a confirmation email that your form was successfully received.

Merchant Information Form

Contact Information

Full Name*

Job Title*

Company Name*

Phone*

Email*

1) Select the services are you interested in?
       ASV Scanning
       Internal Penetration Test
       External Penetration Test
       Onsite Assessment / Report On Compliance (ROC)
       PCI Gap Assessment

2) Please describe your environment

a. Briefly describe your business with regard to storing, processing and transmitting credit card data.

b. Number of individuals in your IT department.

c. Number of servers in your Cardholder Data Environment (CHD), keeping in mind that if there is no network segmentation, the entire enterprise comprises the CHD.

d. Number and types of platforms in the CHD environment.

e. Number of distinct POS applications.

f. Number of applications that store process or transmit CHD (and how many of these are custom code).

g. Number and types of databases that store process or transmit CHD.

h. Number and types of encryption solutions for data at rest.

i. Number of distinct e-Commerce sites.

j. For ASV and External Penetration Testing, number of externally facing IP addresses (hosts).

k. For Internal Penetration testing, number of internally facing IP addresses (hosts).

l. Number of data centers and locations.

m. Number of retail locations.

n. Number of call centers that work with CHD.

o. Number and type outsourced functions within IT.

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PCI Services - Merchants - Request A Price Quote

PCI Requirements

Merchant PCI Requirements

PCI Reference Guide