Drew,
I have done just fine without using PayPal. I do use it now because of convenience but never felt like I left money on the table when I didn't offer it as an option.
As Scott said, for many years countless transactions were done via the mail with checks or money orders.
Bottom line: If you're selling good stuff at fair prices, you'll do fine.
(All of the above is in regard to selling on Net54. eBay is a place where I would say PayPal is a must.)
Best of luck.
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