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MERCHANT APPLICATION
                                                                                             Electronic Payment Systems, LLC
                                                                                                     Englewood, Colorado 80111                                                                                        NO CANCELLATION FEES
                                                                                                    Merrick Bank, South Jordan, Utah


                                                            O ce No.                                            Agent Name

APPLYING FOR




Initials X                                                                                                                             Initials X
BUSINESS NAME(S)
Name of Account (doing business as)                                                                                                    Exact Legal Name
Physical Street Address                                                                                                                Mailing / Billing Address (if di erent from mailing address)
City                                                               State                              Zip                              City                                                                 State                            Zip
Business Phone No. (           )                                   Cell (         )                                                    E-mail Address
Merchandise / Service Sold                                                                                                             Federal Tax ID No.

MERCHANT PROFILE                                                                                                                        VISA, MASTERCARD, & DISCOVER NETWORK INFORMATION
Your Company’s Website Address www.                                                                                                    Do You Currently Accept Visa, MasterCard, and/or Discover Network?                                    Yes              No
Type of Ownership             Sole Proprietor           Partnership           Corporation             LLC        Other                                  if yes, please submit 3 current months of statements.
Date Business Started                                              Length of Current Ownership                                         Current / Previous Card Processor
Has This Business or Any Associated Principal Been Terminated as a Visa, MasterCard, Discover Network                                  Reason for Leaving
Merchant?                          Yes            No                                                                                    Card Swipe         +              %                Average Ticket
Has Merchant or any Associated Principal Disclosed Below Filled Bankruptcy or Been Subject to Involuntary                               Manually Keyed +                  %                Low Ticket
Bankruptcy?                        Yes Date                                  No                                                         Mail Order         +              %                High Ticket
Previous Owner                                                                                                                          Telephone Order +                 %                Average Monthly Volume
                                                                                                                                        Total              =       100 %                   High Monthly Volume

OWNERS OR OFFICERS
Name                                                               Title                                                               Name                                                                 Title
Social Security No.                                                                   Date of Birth                                    Social Security No.                                                                  Date of Birth
Residence Address                                                                                                                      Residence Address
City                               State          Zip              Home Phone No. (             )                                      City                               State            Zip              Home Phone No. (            )
Equity Ownership                   %              Excellent           Good            No Credit History or Derogatory Info             Equity Ownership                   %                Excellent          Good          No Credit History or Derogatory Info

REFERENCES
Trade Reference                                                                                       Contact                                                                                               Phone No.
Trade Reference                                                                                       Contact                                                                                               Phone No.
Bank Reference                                                                                        Contact                                                                                               Phone No.

MERCHANT SITE SURVEY REPORT                                                                                                                                                               (TO BE COMPLETED BY SALES REPRESENTATIVE)

Merchant Location           Retail With Store Front           O ce Building           Residence         Other                          The Business Premises is               Owned by Merchant              Leased
Area Zoned          Commercial             Industrial             Residential                                                          If Leased From Whom Name                                                             Phone No.
Nearest Major Cross Streets                                                                                                            Square Footage             0-250            251-500          501-2,000            2,001+
Further Comments by Inspector (MUST COMPLETE)                                                                                          Does the Amount of Inventory and Merchandise on Shelves and Floor Appear Consistent with the Type of
                                                                                                                                       Business?           Yes          No        if no, explain

I hereby verify that this application has been fully completed by the merchant and that I have physically inspected the business premises of the merchant at this address and the information stated above is true and correct to the best of my knowledge and belief.




Agent Name (please print)                                                                             Signature                                                                            Agent No.                                         Date
MERCHANT APPLICATION
                                                                                                       PROCESSING AGREEMENT (Continued)

    VOIDED CHECK FROM CHECKING ACCOUNT MUST BE ATTACHED                                                                                                                                                                        (DO NOT USE A DEPOSIT OR STARTER CHECK)

                                                                                              ELECTRONIC DEBIT / CREDIT AUTHORIZATION
    Merchant hereby authorizes Bank, in accordance with this Agreement, to initiate debit/credit entries to Merchant’s deposit account, as indicated below. This authority is to remain in full force and e ect until (a) Bank has received
    written noti cation from Merchant of its termination, in such a manner as to a ord Bank reasonable opportunity to act on it and (b) all obligations of Merchant to Bank that have arisen under this Agreement have been paid in
    full. This authorization extends, but is not limited, to such entries to this account which concern discount fees, transaction fees, chargebacks, penalties, service fees, return item fees, lease, rental and purchase charges, check
    services, warranty services, Internet services or other services o ered by EPS, involving Poin-Of-Sale(”POS”) and credit card imprint equipment.

    PRICING SCHEDULE A                                                                                                                                                                                                                                      NO CANCELLATION FEES

    CARD DISCOUNT                              %              OFFLINE DEBIT                             %                      Debit                                  Authorization Fee                             AMEX                                                       Yes
    AUTH. FEE                  RETAIL       MOTO              ACH Rejection                                 $25.00             1                                      1                                             AMEX Merchant I.D.
    MasterCard                 $0.25        $0.35             Charge Back Fee                               $25.00
                                                                                                                               2                                      2                                             Annual Fee          $85.00
    Visa                       $0.25        $0.35             Administration Fee                            $10.00
    Discover Network           $0.25        $0.35             Minimum Discount Fee                          $25.00             3                                      3                                             FMP Warranty                Yes $8.95/mo. (includes Free repair/replacement)
    Other                      $0.25        $0.35             Wireless Fee                                  $25.00             4                                      4
    Wireless                   $0.15        $0.15             Voice Authorization                            $0.95
    AVS                        $0.04        $0.04             Retrieval Fee                                 $12.00             5                               5                                                    SIC Code
                                                              Checking Account Change                       $20.00             See Speci c Documentation for Fees.
                                                              Internet Gateway                              $10.00             (Surcharge of up to 1.75% applied to all transactions
                                                              Voice Auth. Setup                              $4.95             which fail to qualify for Visa MasterCard electronic data                                   RETAIL              MOTO               BUNDLED RATE
                                                                                                                               capture interchange requirements.)

    EPS 90 PRICING SCHEDULE
    A Registration and Encryption Fee of $320.00 is due at signing.                                                                          PRICING TO MERCHANT SHALL BE AS FOLLOWS:
    SERVICE REQUESTED:                                                                                                                       % per check                            Trans. Fee                              Admin. Fee                             Monthly Minimum
          Conversion With Guarantee                                                                                                                                                 $0.25                                   $10.00                                 $25.00
          Single Check Conversion With Guarantee (one check for full payment not post dated)                                                                                        $0.25                                   MUST ACCOMPANY CONVERSION WITH GUARANTEE SERVICE

    An account set-up fee of $25.00 will be debited from the rst check in the series when multiple checks are used in a single transaction. Fee payment not otherwise covered in this Agreement shall be debited from Merchants’ account on or about the 5th of each month for activity in the prior calendar
    month. An annual Fee of $85.00 is billed each year in December regardless of time of enrolment and cannot be waived or refunded.License Fee: When applicable, in consideration for the granting of the license and the use of the Software, Licensee agrees to pay Developer a recurring monthly gateway fee
    of $19.95 ofr the term of this agreement and any subsequent renewals.


    EPS 90 INFORMATION
    STANDARD TICKET AMOUNTS:                                                                                                                                     TERMINAL/CHECK READER TYPE:                                                                       FMP WARRANTY:
    Average                                            Low                                            High                                                       Terminal Model                                                                                           For 1 Terminal ($8.95)
                                                                                                                                                                 Reader Model                                                                                             For 2 Terminals (14.95)

    PCI-DSS DATA
    Does Merchant Use an Independent Servicer That Stores, Maintains, or Transmits Cardholder Information                                                                           No                  Yes                 IF YES PLEASE PROVIDE:
    Name                                                                                                                                                                                                                    Phone No.
    Product or Service Being O ered
    Does the Merchant use                                     Software                                Terminal
    If Software, What is the Payment Application Name                                                                    What Version of the Payment Application is in Use                                                                     If Terminal, What Type
X                                                                                                                                                           X
    Signature                                                 Printed Name                                               Date                                    Signature                                                  Printed Name                                               Date

    PERSONAL GUARANTEE
    The undersigned personally, and in his or her capacity of and for any named entity he/she represent, unconditionally guarantees the Bank and Electronic Payment Systems, LLC (EPS) the performance of this Agreement including by not limited to: payment of all sums due and owing; adherence to all terms
    and conditions of this agreement and any attachments hereto; and agrees to pay any attorneys fees and costs associated with enforcement of the terms, conditions, and agreements contained herein. Bank and/or EPS shall not be required to rst proceed against Merchant for enforce or see any other
    remedy before proceeding against the undersigned. This is a continuing guaranty and shall not be discharged or a ected by the death or the undersigned, shall bind the heirs, administrators, representatives and assigns and may be enforced by or for the bene t of any successor of Bank or EPS. The terms of
    this guaranty shall be for the duration of the Merchant Processing Agreement and all attachments thereto and shall guarantee all obligations which may arise or accrue during the terms thereof. Enforcement may be sought subsequent to any termination.

X                                                                                                                                                           X
    Personal Guarantor (No Title)                                                                                                                                Personal Guarantor (No Title)
    The undersigned personally, and in his or her capacity of and for any named entity herein represents and warrants that all information provided by Merchant in the Merchant Application and Processing Agreement, and if elected as a service, the EPS 90 Application and Purchase Agreement, and any other
    documents thereto, is true and correct. Also, the undersigned authorizes the Bank an/or EPS or its representative to investigate the credit of each person and/or entity listed on the Merchant Application and represents that he/she has the authority to provide such information. MERCHANT HEREBY AGREES
    AND ACCEPTS ALL TERMS AND CONDITIONS CONTAINED HEREIN AND OUTLINED IN THE ARTICLES 1.01 THRU 3.14(K) RESPECTIVELY FOR THE MERCHANT PROCESSING AGREEMENT, AND IF ELECTED AS A SERVICE, ARTICLES 1 THRU 8 RESPECTIVELY OF THE ARTICLES, TERMS AND CONDITIONS OF THE EPS 90
    APPLICATION AND PURCHASE AGREEMENT. FURTHERMORE, MERCHANT ACKNOWLEDGES RECEIPT OF A PHYSICAL COPY OF THIS AGREEMENT WHICH CONTAINS THE AFOREMENTIONED ARTICLES AND OTHER TERMS AND CONDITIONS THAT GOVERN THIS AGREEMENT.

X                                                                                                                                                           X
    Signature                                                 Printed Name                                               Date                                    Signature                                                  Printed Name                                               Date
                Accepted by Merrick Bank * Agent Relations * South Jordan, UT 84095 * 303.221.2510                                                                             Accepted by Electronic Payment Systems,LLC * Englewood, CO 80111 * 800.863.5995


    By                                                                            Title                                                                          By                                                                            Title
In consideration of the mutual covenants and agreements herein Merrick Bank ("Acquirer"), Electronic Payment Systems ("EPS") acting on behalf of and for                    (c) in connection with a recurring transaction (or preauthorized order) pursuant to which goods or services are delivered to or performed for a cardholder
Acquirer and the undersigned merchant ("Merchant") have agreed as follows as of the date of acceptance by Acquirer and issuance of a valid merchant number:                 periodically. Merchant agrees to the following conditions
                                                                                                                                                                               (i) Merchant must obtain a written request from the cardholder that the recurring transaction be charged to the cardholder's account.
ARTICLE 1 CARD TRANSACTIONS                                                                                                                                                    (ii) the written request must specify the amount of the recurring transaction (or allow space for cardholder to specify a minimum and maximum amount if the
                                                                                                                                                                            recurring transactions are to be for varying amounts), the frequency of the recurring charges, and the length of time for which the preauthorized order is to remain
1.01 Honoring Integrated Card Solution                                                                                                                                      in e ect.
(a) Merchant shall honor without discrimination all valid cards of the type(s) made available for processing by EPS when properly presented as payment by                      (iii) before renewing a preauthorized order, Merchant must obtain a subsequent written request from the cardholder containing the information listed above
customers in connection with bona de, legitimate business transactions. If Merchant does not deal with the public at large (such as in the case of a private club),            (iv) Merchant must retain the cardholders written authorization for as long as the preauthorized order is in e ect and must provide a copy to Acquirer upon
Merchant shall be deemed to have complied with this non-discrimination rule if it honors all valid Integrated Card Solution of cardholders who have purchasing              request.
privileges or memberships with Merchant.                                                                                                                                       (v) Merchant must not deliver goods or perform services covered by a preauthorization order after being advised that the preauthorization has been canceled
(b) Merchant shall not require, through an increase in price or otherwise, any cardholder to pay any surcharge at the time of sale or to pay any part of any charge         or that the Card is not to be honored, and
imposed on Merchant by Acquirer (Discounts for payment in cash, however, are permitted).                                                                                       (vi) Except as provided in Section 1.07, a recurring transaction may not include partial payments to Merchant for goods or services purchased in a single
(c) Merchant shall not establish minimum or maximum transaction amounts.                                                                                                    transaction, or for periodic payments of goods or services on which Merchant assesses additional nance charges.
(d) Merchant shall not require a cardholder to provide identi cation information such as telephone number, address or driver's license number as a condition of                (vii) Merchant must inform cardholder that he has the right to receive, at least 10 days prior to each scheduled transaction date, written notice of the amount
completing a transaction, unless such identi cation is required by MasterCard International, Inc. ("MasterCard"), Visa U.S.A. Inc. ("Visa"), Discover ® Network rules       and date of the next charge. Cardholder may elect to receive the notice
and regulations and is permitted by the law of the state in which the transaction takes place, for example, in mail order transactions.                                            (A) for every change
(e) Merchant may not make a photocopy of a card under any circumstances and may not request that the cardholder provide a photocopy of the card as a                               (B) only when the transaction amount does not fall within the speci ed range shown on the order form, or
condition for honoring the card.                                                                                                                                                   (C) only when the transaction amount will di er from the most recent charge by more than an agreed upon amount.
1.02 Advertising                                                                                                                                                            (d) Merchant may o er cardholders an installment payment option for its mail/telephone order merchandise subject to the following conditions
(a) Merchant shall display adequately any advertising or promotional material provided or required by Acquirer to inform the public that Integrated Card Solutions             (i) Merchants promotional material must clearly disclose the installment terms including but not limited to
will be honored at Merchant's place of business. Such displays, however, are not required of private clubs and other Merchants that do not deal with the general                   (A) whether the plan is available only for selected items or for the total amount of any order and
public, vehicle leasing companies at airport locations, transportation companies subject to government regulation, or other Merchants expressly exempted from                      (B) how shipping and handling charges and applicable taxes will be billed. The material also must advise cardholders who are not billed in the transaction
this requirement by MasterCard, Visa, and/or Discover Network as applicable.                                                                                                currency of the Merchant that the installment billing amounts may vary due to uctuations in the currency conversion rates
(b) Merchant shall not display or use advertising or promotional materials containing Acquirer's name or symbol which might cause a customer to assume that                    (ii) No nance charges may be added by Merchant. The sum of the installment transactions may not exceed the total sales price of the merchandise on a single
Merchant honors only Cards issued by Acquirer.                                                                                                                              transaction basis
(c) Merchant shall have the right to use or display the proprietary names and symbols associated with Integrated Card Solution only while this Agreement is in                 (iii) Authorization is required for each installment transaction. Merchant's oor limit is zero
e ect or until Merchant is noti ed by Acquirer or any appropriate Integrated Card Solution organization to cease such usage.                                                   (iv) Merchant may not deposit the rst installment transaction with Acquirer until the merchandise is shipped. Subsequent installment transactions must be
(d) Merchant shall comply with all applicable MasterCard, Visa, and Discover Network rules and regulations concerning the use of service marks and copyrights               deposited.
owned by MasterCard, Visa, and or Discover Network.                                                                                                                                (A) at intervals of 30 days or more, or
(e) Merchant shall use the proprietary names and symbols associated with Integrated Card Solution only to indicate that Cards are accepted for payment and shall                   (B) on the anniversary date of the transaction (i.e. the same date each month)
not indicate, directly or indirectly, that Acquirer. MasterCard, Visa, or any Integrated Card Solution organization endorses Merchant's products or services.                  (v) in addition to Merchant's name, an appropriate installment transaction descriptor (e.g. one of ve, two of ve) must be included in the Merchant name eld
(f) Merchant shall not refer to MasterCard, Visa, or Discover Network in stating eligibility for its products, services or memberships.                                     of the clearing record.
1.03 Card Examination                                                                                                                                                       (e) An imprint of the card is required whenever card is present.
(a) Merchant agrees to con rm that user is cardholder.                                                                                                                      1.09 Vehicle Rental Transactions
(b) Merchant agrees to examine any card security features (such as hologram) included on the Card. Merchant shall compare the embossed account number on                    Regardless of the terms and conditions of any written preauthorization form, the sales slip amount for any vehicle rental transaction shall include only that portion
the face of the Card with the account number indent on the signature panel.                                                                                                 of the transaction, including any applicable taxes, evidencing a bona de renting of personal property by Merchant to a customer and shall not include any
(c) Merchant shall, prior to completing the transaction, check the validity date and expiration date of the Card and shall not honor any Card that is not valid or that     consequential charges. Nothing herein is intended to restrict Merchant from enforcing the terms and conditions of its preauthorization form through means other
has expired, without proper authorization.                                                                                                                                  than a Card transaction.
(d) Where the magnetic stripe on the Card is read in connection with a transaction, Merchant shall compare the embossed account number on the Card to the                   1.10 Returns and Adjustments, Credit Slips
number displayed or printed by the terminal to ascertain that they are the same.                                                                                            (a) If with respect to any transaction, any merchandise is accepted for return or any services are terminated or canceled, or any price adjustment is allowed by the
(e) Except in connection with a mail order, telephone order or pre-authorized transaction, Merchant shall not complete a transaction without presentation of the            Merchant (other than involuntary refunds by airlines or other carriers when required by applicable tari s and except where otherwise required by law or
Card by the cardholder and a proper examination by the Merchant of the Card.                                                                                                governmental regulations) Merchant shall not make any cash refund to the cardholder but shall deliver promptly to Acquirer a credit slip evidencing such refund
(f) If the signature panel on the card is blank, Merchant shall:                                                                                                            or adjustments.
    (i) review positive identi cation to determine that user is cardholder. Such identi cation must consist of a current o cial government identi cation document           (b) Each credit slip shall be signed and dated by Merchant and include the transaction date, a description of the goods returned, services canceled or adjustment
(such as a passport or driver's license) that bears the cardholder's signature; and                                                                                         made and the amount of the credit in su cient detail to identify the transaction and the embossed data from the Card and Merchant's imprinter plate.
    (ii) indicate such positive identi cation (including any serial numbers and expiration date) on the sales draft if the transaction is a Visa transaction, and if        (c) The refund or adjustment shall be indicated on a credit slip and may not exceed the original transaction amount
permitted by law. (Such information shall not be recorded for MasterCard transactions); and                                                                                 (d) The Merchant may limit its return, adjustment, refund or exchange policies provided that proper disclosure is made and purchased goods or services are
    (iii) require cardholder to sign the signature panel before completing the transaction; and                                                                             delivered to the cardholder at the time of the transaction.
    (iv) request authorization.                                                                                                                                             (e) Proper disclosure by the Merchant must be given at the time of the transaction by printing the following words or similar wording on all copies of the sales slip
(g) In the case of a Visa card, Merchant shall compare the printed issuing bank identi cation number, which is directly above the rst four digits of the embossed           or invoice being presented to the cardholder for signature in letters approximately 1.4 inch high and in close proximity to the space provided for the cardholder's
account number. If the printed number and the embossed number do not match, Merchant shall call the voice authorization number and request a Code 10                        signature
operator.                                                                                                                                                                      (i) "NO REFUND" For a Merchant which may not accept merchandise in return or exchange and may not issue a refund to a cardholder.
1.04 Authorization                                                                                                                                                             (ii) "EXCHANGE ONLY" For a Merchant which may only accept merchandise in immediate exchange for similar merchandise of a price equal to the amount of the
(a) Before honoring any Card, Merchant shall request authorization from Acquirer's designated authorization center.                                                         original transaction.
(b) Authorization numbers or positive account number veri cation response codes, as appropriate, shall be printed legibly in the designated area on the sales slip.            (iii) "IN-STORE CREDIT ONLY" For a Merchant which may accept merchandise in return and deliver to the cardholder an in-store credit for the full value of the
(c) If authorization is denied, Merchant shall not complete the transaction and shall use its best e orts by reasonable and peaceful means to follow any                    merchandise returned which may be used only in the Merchant's place(s) of business.
instructions from the authorization center.                                                                                                                                    (iv) A Merchant may, if permitted by applicable law, stipulate special circumstances agreed to by the cardholder (e.g. late delivery, delivery charges or insurance
(d) Merchant shall be liable to Acquirer, regardless of any authorization, if Merchant completes a transaction when the cardholder is present but does not have his         charge(s) as terms of the transaction, but under no circumstance shall a surcharge be assessed for the use of a Card. The wording to appear on the sales slip shall
Card, the cardholder does not sign the sales slip, or the signature on the sales slip does not match the signature appearing on the Card or the signature panel on          be any special terms of the transaction(s).
the card is blank.                                                                                                                                                          (f) Merchant must deliver to the cardholder a true and complete copy of the credit slip at the time of the credit transaction. Merchant shall not process a credit slip
(e) In no event shall an authorization be deemed to be Acquirer's representation that the particular transaction is in fact a valid, authorized or undisputed               without having completed the purchase transaction with the cardholder. In no event may the credit exceed the amount of the original transaction.
transaction entered into by the cardholder or an authorized user of the Card.                                                                                               1.11 Cash Payments, Factoring, Split Sales
(f) Where authorization is requested for a transaction involving suspicious or unusual circumstances the Merchant shall call and request a "Code 10" authorization          (a) Merchant shall not receive any payments from a customer for charges included on any transaction record resulting from the use of any Card, nor receive any
from Acquirer's designated authorization center.                                                                                                                            payments from a cardholder to prepare and present a credit slip for the purpose or e ecting a deposit to the cardholder's account.
(g) An authorization for a restaurant transaction in which a gratuity is added to the sales slip by the cardholder is valid if the total transaction amount is within 20%   (b) Factoring is the act of processing a transaction that is not the result of goods or services provided or sold by the Merchant and for the bene t of others. This
of the authorization amount.                                                                                                                                                includes any transaction that may generate a fee to Merchant for this service. These and any like transactions are PROHIBITED under this agreement.
(h) If authorization is obtained for the estimated amount of a car rental transaction, Merchant shall disclose to cardholder such amount authorized on the rental           (c) Split Sales are transactions that utilize the same card, at the same time in incremental amounts to achieve a desired authorization amount. If one card is used it
date.                                                                                                                                                                       must be for the full amount of the sale. This does not apply to Installment Orders as described in 1.08 above.
(i) Merchant acknowledges that EPS and/or Bank will monitor Merchant's daily deposit activity. The deposit activity should remain consistent to the "approved"              1.12 Cash Advances
monthly volume and average ticket amount approved on the Merchant Agreement and Application. If the Merchant should exceed the "approved" monthly                           Merchant agrees not to make any cash advance to a cardholder or take any cash advances for themselves, their employees, family members or their company,
volume, the Merchant acknowledges that additional documentation could be required. Merchant agrees that Bank may upon reasonable grounds suspend the                        either directly or by deposit to the cardholder's account. Money orders sent by wire, contribution to charitable and political organizations, tax payments, insurance
disbursement of Merchant's funds for any reasonable period of time required to investigate suspicious or unusual deposit activity. EPS and/or Bank will make good           premium payments for (1) one quarter year or less, alimony and child support payments, and court costs and nes shall not be considered cash advances or
faith e orts to notify Merchant immediately. EPS and/or Bank shall have no liability for any losses, either direct or indirect, which Merchant may attribute to any         withdrawals.
suspension of funds disbursement.                                                                                                                                           1.13 Transactions Acceptable Under This Agreement
(j) In all cases the nal delivery and/or performance of all goods and/or services shall not exceed ninety (90) days from the date of the original transaction.              Notwithstanding any other Sections, conditions, covenants or requirements contained herein, Merchant is approved to accept transactions, as outlined in this
1.05 Retention and Retrieval of Cards                                                                                                                                       agreement in the normal course of Merchants business that are germane to Merchants business and within the "approved" average ticket and volumes for
Merchant shall use its best e orts, by reasonable and peaceful means, to retain or recover a Card                                                                           Merchant. Transactions should be within the reasonable context of the information provided by Merchant at the time of Application and conform to the standards
(a) If Merchant receives a negative response from the account number veri cation service and until Merchant receives further instruction from Acquirer's                    established by S. I. C. (Standard Industry Code) that identi es their business.
designated authorization center.                                                                                                                                            1.14 Disclosure and Storage or Cardholder Account Information
(b) While making an authorization request.                                                                                                                                  (a) Except as otherwise required by law, Merchant shall not, without the cardholders prior written consent, sell, purchase, provide, or otherwise disclose the
(c) If Merchant is advised to retain the Card in response to an authorization request, or                                                                                   cardholder's account information or other cardholder information to any third party other than Acquirer.
(d) Where the embossed account number, indent printed account number, and/or encoded account number do not match or an unexpired Card does not have                         (b) Merchant and/or any agent of Merchant shall store in an area limited to selected personnel and, prior to discarding, shall destroy in a manner rendering data
the appropriate hologram on the Card face, or                                                                                                                               unreadable, all material containing cardholder account numbers including but not limited to card imprints, such as sales slips and credit slips, car rental
(e) If the Merchant has reasonable grounds to believe the Card is counterfeit, fraudulent or stolen                                                                         agreements and carbons.
(f) The obligation of Merchant to retain or recover a Card imposed by this section does not authorize a breach of the peace or any injury to persons or property,           (c) Merchant or any agent of Merchant shall not retain or store magnetic stripe data subsequent to the authorization of a transaction.
and Merchant will hold Acquirer harmless from any claim arising from any injury to person or property or other breach of the peace.                                         (d) Merchant will be responsible for maintaining all records of all transactions including but not limited to: original sales slips, signed sales drafts, signed credit
(g) If a recovered card is retained by a law enforcement agency Merchant shall forward a legible copy of the front and back of the card to Acquirer, or other               drafts, work orders, or any other document that pertains to the sales for which a credit card was used as a form of or partial payment of the subject transaction for
Integrated Card Solution organization as appropriate to support payment of any applicable reward.                                                                           a minimum of thirty-six (36) months from the date of the original transaction.
1.06 Completing the Transaction Record                                                                                                                                      1.15 Deposits
Except as provided below, Merchant agrees to do all or the following when honoring a Card.                                                                                  Notwithstanding any other Sections, conditions, covenants or requirements herein, Merchant may accept deposits for goods and/or services to be performed in a
(a) To enter on the sales slip the transaction date, a description of the goods or services sold, and the price thereof (including any applicable taxes) in detail          timely manner. A deposit shall not be used as a payment to Merchant and is not to be used as interim nancing or a “Cash Advance” as outlined in 1.12 above.
su cient to identify the transaction.                                                                                                                                       Deposits, when identi ed by Acquirer, may be held in a reserve account until satisfactory completion of services and/or delivery of good can be veri ed.
(b) To obtain the signature of the customer on the sales slip after the transaction amount is identi ed in the Total column.
(c) To compare the signature on the sales slip and the signature panel of the Card and if the Card has a photograph of the cardholder to ascertain that the                 ARTICLE II PRESENTMENT PAYMENT AND CHARGE BACK
customer resembles the person depicted in the photograph, and if either identi cation is uncertain, or the account numbers are not the same or Merchant
otherwise questions the validity of the Card, to contact Acquirer's authorization center for instructions.                                                                  2.01 Presentment of Transaction Records to Acquirer
(d) To Imprint legibly on the sales slip the embossed legends from the Card and from the merchant imprinter plate. If the imprinter does not legibly imprint the            (a) Merchant may designate a third party (that does not have a direct agreement with Acquirer) as its agent for the purpose of delivering transactions
embossed legends from the Card and Merchant plate. Merchant shall detail legibly the cardholder's name and account number and Merchant's name and place of                  data-captured at the point of sale by such agent if Merchant elects to use such third party as its agent for the direct delivery of data-captured transactions.
business, as well as the name or trade style of the issuer as it appears on the face of the Card, the ICA number, the Card initials, if any, and both the e ective date     Merchant agrees to the following conditions (for the purposes of this section 2.02, "Merchant" includes any agent designated by Merchant as permitted under this
and expiration date. Merchant shall also record on the sales slip any other embossed data such as security symbols.                                                         section):
(e) To deliver a true and completed copy of the sales slip to the customer at the time of delivery of the goods or performance of the services or for point of                 (i) Merchant must provide satisfactory notice to Acquirer that Merchant chooses to exercise the option speci ed above;
transaction terminal transactions, at the time of the transaction.                                                                                                             (ii) The obligation of Acquirer to reimburse Merchant for transactions is limited to the amount (less the appropriate discount fee) delivered by Merchant's
(f) For transactions which originate at and are data captured using point-of-transaction terminals. Merchant must include the following information on the                  designated agent, and
cardholder's copy or the sales draft.                                                                                                                                          (iii) Merchant is responsible for any failure by its agent to comply with all applicable rules and regulation of MasterCard and Visa, including, but not limited to,
    (i) The cardholder account number                                                                                                                                       any violation resulting in a charge back.
    (ii) Merchants name                                                                                                                                                     (b) Merchant shall present all sales data relevant to a transaction to Acquirer within the lesser of three (3) bank business days or ve (5) calendar days after the date
    (iii) Merchant's location code or city and state                                                                                                                        of the transaction, except that,
    (iv) The amount of the transaction                                                                                                                                         (i) Merchant shall present no sales data until goods have been shipped or the services have been performed and Merchant has otherwise performed all or its
    (v) The transaction date                                                                                                                                                principal obligations to the customer in connection with the transaction unless the cardholder agreed to a delayed delivery or goods and proper disclosures were
(g) Transaction records must be produced for all transactions which originate at and are data captured using automated dispensing machines or limited amount                made at the time of the transaction.
terminals, except for transactions which originate at magnetic stripe reading telephones. Such transaction records must include at least the following information.            (ii) When Merchant requests and receives authorization for delayed presentment and legibly prints on the sales slip the authorization number and the words
    (i) The cardholder account number                                                                                                                                       "Delayed Presentment," Merchant must present the sales data within the period permitted for delayed presentment (not to exceed thirty (30) calendar days).
    (ii) Merchant's name                                                                                                                                                       (iii) If Merchant is obligated by law to retain a sales slip or return it to a buyer upon timely cancellation, Merchant must present the sales data within ten (10)
    (iii) the magnetic stripe reading terminal location code or city and state                                                                                              bank business days after the date of the transaction; and
    (iv) the amount of the transaction                                                                                                                                         (iv) When Merchant has multiple locations or o ces and accumulates transaction records at a central facility, Merchant must present the transaction records to
    (v) the transaction date                                                                                                                                                Acquirer within (20) calendar days after the date of the transaction. Merchants with multiple locations must deliver the transaction records in such a manner that
(h) Whenever the uncoded account number cannot be read from the magnetic stripe. Merchant shall follow normal authorization procedures and complete the                     Acquirer is able to identify the transactions originating at each location.
approved transaction using a manual imprinter.                                                                                                                              (c) Merchant shall deliver all credit data to Acquirer within three (3) bank business days after the credit transaction date, except that if Merchant has multiple
1.07 Multiple Transaction Records, Partial Consideration                                                                                                                    locations as described in subsection (b)(iv) above, Merchant must deliver the credit data to Acquirer within seven (7) business days after the transaction date.
(a) Merchant must include on one transaction record the entire amount due for the transaction except in the following instances                                             (d) Merchant shall not present to Acquirer, directly or indirectly, any transaction record that Merchant knows or should have known to be fraudulent or not
    (i) the transaction involves purchases made in separate departments of a multidepartment store                                                                          authorized by the cardholder, that results from transaction outside Merchant's normal course of business, that results from a transaction not involving Merchant,
    (ii) the transaction involves delayed or amended charges for a vehicle rental transaction in which                                                                      that contains the account number of a Card account issued to Merchant, or that was not the result of a transaction between Merchant and a cardholder.
        (A) the cardholder consented to be liable for such charges                                                                                                          (e) If the transmission of sales data or credit data from Merchant to Acquirer is in the form of magnetic tape or electronic data, Merchant shall preserve a copy of
        (B) such charges consist of ancillary or corrected charges such as taxes or fuel fees, and not charges for loss, theft, damage, or tra c violations, and            the sales and credit slips as per section 3.03.
        (C) Merchant sends the cardholder a copy of the amended or add-on-sales drafts (Sales drafts for such delayed or amended charges may be deposited                   (f) Merchant is prohibited from re-depositing any transaction which has previously been charged back and subsequently returned to Merchant. This prohibition
without the cardholder signature provided that Merchant has cardholder's signature on le, and the words "Signature on File" are entered onto the signature                  applies with or without the cardholders consent or the Merchant's action. Merchant may, at its option, pursue payment from the customer in such event through
panel of the sales draft).                                                                                                                                                  means other than a card transaction.
    (iii) the customer pays a portion of the transaction amount in cash, by check, with any card, or any combination of such payments at the time of the transaction        2.02 Acceptance and Discount
and further provided that Merchant obtains authorization for that part of the transaction a ected with a card.                                                              (a) Subject to all terms and conditions contained herein, barring any event of insecurity as de ned in 2.03 below, and based on the proper execution and
    (iv) all or a portion of the goods or services are to be delivered or performed at a later date and the customer signs two separate sales slips, one of which           presentment of electronic batches for settlement Acquirer will initiate payment to Merchant within three-(3) business days after the processing date of the
represents a deposit and the second of which represents payment of the balance, and the balance sales slip is completed only upon delivery of the goods or                  received batch for the total face amount of each Sales Draft less any Credits, Discounts, Fees, Reserve Deposits or adjustments. However, Acquirer cannot
performance of the services in which case Merchant agrees                                                                                                                   guarantee the timeliness with which any payment may be credited by Merchant's Bank to Merchant's account and such payments will be subject to Merchant's
        (A) to note on the sales slips the word "deposit" or "balance" as appropriate and the words "Delayed Delivery"                                                      Bank’s funds availability policies. All payments, credits, and charges are subject to audit and nal checking by Acquirer, and prompt adjustments shall be made for
        (B) if the total amount of the two slips exceeds the applicable oor limit, to obtain prior authorization and note the authorization date and approval code on       inaccuracies discovered.
the sales slips, and                                                                                                                                                        2.03 Insecurity
        (C) not to present the "balance" sales slip until all goods are delivered or all the services are performed, or                                                     (a) Notwithstanding Section 2.02 Acquirer may withhold payment to Merchant or prohibit Merchant's withdrawal of funds then on deposit with Acquirer for any of
    (v) the cardholder is using the installment payment option o ered in accordance wit section 1.08                                                                        the following reasons;
(b) Merchant agrees not to divide a single transaction between two or more transaction records to avoid obtaining an authorization                                             (i) Acquirer is suspicious of any transaction records;
(c) For sales processed at electronic P.O.S. terminals, multiple items individually billed to the same account will not be considered a violation of this Agreement if         (ii) Merchant's volume of sales exceeds a stipulated amount or amounts that are typically generated during a particular period;
separate authorizations are obtained for each item.                                                                                                                            (iii) Merchant's average ticket amount exceeds a stipulated amount;
                                                                                                                                                                               (iv) Merchant does not swipe Cards through electronic terminals;
1.08 Telephone Order, Mail Orders, Preauthorized Orders and Installment Orders                                                                                                 (v) Merchant fails to authorize transaction;
(a) If a Card transaction is made by telephone order (TO), mail order (MO), or preauthorized order (PO), the sales slip may be completed without a customer's                  (vi) Acquirer receives excessive retrieval request against Merchant's account as prior activity.
signature or a Card imprint, but Merchant shall                                                                                                                                (vii) Excessive charge back's are debited against Merchant's account as prior activity; or
   (i) print legibly on the sales slip su cient information to identify the card issuer, Merchant and the cardholder including, Merchants name and address, the Card           (view) If for any other reason Acquirer reasonably determines that withholding funds or preventing withdrawal of funds previously deposited with Acquirer is
issuers name or trade style, ICA number and bank initials (if any), the account number, the expiration date and any e ective date on the Card the cardholder's              necessary to cover anticipated charges from Merchant's Card activities.
name, and any company name, and                                                                                                                                             (b) In the event of the use of any provision in 2.03 (a) above it may be determined that a Pledged Reserve Account for Merchant must be established. This Account
   (ii) print legibly on the signature line of the sales slip the letter "TO", "MO" or "PO" (Recurring transaction' for Visa transaction), as appropriate                   can consist of an initial contribution requirement, a diversion of a percentage or all of current and/or future transactions or any combination thereof as determined
   (iii) obtain authorization for every sale for MO and TO( transactions, authorization must be obtained no more than seven calendar days prior to the transaction          by Acquirer. Funds held will remain on deposit with Acquirer for a period of two-(2) years or until Acquirer determines, in its sole and absolute discretion, that the
date. Merchant shall attempt to obtain the expiration date of the Card as part of the authorization inquiry.                                                                risk of charges to the Merchant's account has past.
(b) in any non-imprint transaction (and whenever an expired Card is presented regardless of whether imprinted), Merchant shall be deemed to warrant the                     (c) Pledged Reserve Accounts can be applied to any debt of merchant to Acquirer and/or EPS.
customer's true identity as an authorized user of the Card, whether or not authorization is obtained, unless Merchant obtains and notes legibly on the sales slip
evidence of the customer's true identity




                                                                  X                              By Initialling Here You Are Con rming Acceptance and Receipt of This Agreement and a Copy Thereof
New merchantapplication
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New merchantapplication

  • 1. MERCHANT APPLICATION Electronic Payment Systems, LLC Englewood, Colorado 80111 NO CANCELLATION FEES Merrick Bank, South Jordan, Utah O ce No. Agent Name APPLYING FOR Initials X Initials X BUSINESS NAME(S) Name of Account (doing business as) Exact Legal Name Physical Street Address Mailing / Billing Address (if di erent from mailing address) City State Zip City State Zip Business Phone No. ( ) Cell ( ) E-mail Address Merchandise / Service Sold Federal Tax ID No. MERCHANT PROFILE VISA, MASTERCARD, & DISCOVER NETWORK INFORMATION Your Company’s Website Address www. Do You Currently Accept Visa, MasterCard, and/or Discover Network? Yes No Type of Ownership Sole Proprietor Partnership Corporation LLC Other if yes, please submit 3 current months of statements. Date Business Started Length of Current Ownership Current / Previous Card Processor Has This Business or Any Associated Principal Been Terminated as a Visa, MasterCard, Discover Network Reason for Leaving Merchant? Yes No Card Swipe + % Average Ticket Has Merchant or any Associated Principal Disclosed Below Filled Bankruptcy or Been Subject to Involuntary Manually Keyed + % Low Ticket Bankruptcy? Yes Date No Mail Order + % High Ticket Previous Owner Telephone Order + % Average Monthly Volume Total = 100 % High Monthly Volume OWNERS OR OFFICERS Name Title Name Title Social Security No. Date of Birth Social Security No. Date of Birth Residence Address Residence Address City State Zip Home Phone No. ( ) City State Zip Home Phone No. ( ) Equity Ownership % Excellent Good No Credit History or Derogatory Info Equity Ownership % Excellent Good No Credit History or Derogatory Info REFERENCES Trade Reference Contact Phone No. Trade Reference Contact Phone No. Bank Reference Contact Phone No. MERCHANT SITE SURVEY REPORT (TO BE COMPLETED BY SALES REPRESENTATIVE) Merchant Location Retail With Store Front O ce Building Residence Other The Business Premises is Owned by Merchant Leased Area Zoned Commercial Industrial Residential If Leased From Whom Name Phone No. Nearest Major Cross Streets Square Footage 0-250 251-500 501-2,000 2,001+ Further Comments by Inspector (MUST COMPLETE) Does the Amount of Inventory and Merchandise on Shelves and Floor Appear Consistent with the Type of Business? Yes No if no, explain I hereby verify that this application has been fully completed by the merchant and that I have physically inspected the business premises of the merchant at this address and the information stated above is true and correct to the best of my knowledge and belief. Agent Name (please print) Signature Agent No. Date
  • 2. MERCHANT APPLICATION PROCESSING AGREEMENT (Continued) VOIDED CHECK FROM CHECKING ACCOUNT MUST BE ATTACHED (DO NOT USE A DEPOSIT OR STARTER CHECK) ELECTRONIC DEBIT / CREDIT AUTHORIZATION Merchant hereby authorizes Bank, in accordance with this Agreement, to initiate debit/credit entries to Merchant’s deposit account, as indicated below. This authority is to remain in full force and e ect until (a) Bank has received written noti cation from Merchant of its termination, in such a manner as to a ord Bank reasonable opportunity to act on it and (b) all obligations of Merchant to Bank that have arisen under this Agreement have been paid in full. This authorization extends, but is not limited, to such entries to this account which concern discount fees, transaction fees, chargebacks, penalties, service fees, return item fees, lease, rental and purchase charges, check services, warranty services, Internet services or other services o ered by EPS, involving Poin-Of-Sale(”POS”) and credit card imprint equipment. PRICING SCHEDULE A NO CANCELLATION FEES CARD DISCOUNT % OFFLINE DEBIT % Debit Authorization Fee AMEX Yes AUTH. FEE RETAIL MOTO ACH Rejection $25.00 1 1 AMEX Merchant I.D. MasterCard $0.25 $0.35 Charge Back Fee $25.00 2 2 Annual Fee $85.00 Visa $0.25 $0.35 Administration Fee $10.00 Discover Network $0.25 $0.35 Minimum Discount Fee $25.00 3 3 FMP Warranty Yes $8.95/mo. (includes Free repair/replacement) Other $0.25 $0.35 Wireless Fee $25.00 4 4 Wireless $0.15 $0.15 Voice Authorization $0.95 AVS $0.04 $0.04 Retrieval Fee $12.00 5 5 SIC Code Checking Account Change $20.00 See Speci c Documentation for Fees. Internet Gateway $10.00 (Surcharge of up to 1.75% applied to all transactions Voice Auth. Setup $4.95 which fail to qualify for Visa MasterCard electronic data RETAIL MOTO BUNDLED RATE capture interchange requirements.) EPS 90 PRICING SCHEDULE A Registration and Encryption Fee of $320.00 is due at signing. PRICING TO MERCHANT SHALL BE AS FOLLOWS: SERVICE REQUESTED: % per check Trans. Fee Admin. Fee Monthly Minimum Conversion With Guarantee $0.25 $10.00 $25.00 Single Check Conversion With Guarantee (one check for full payment not post dated) $0.25 MUST ACCOMPANY CONVERSION WITH GUARANTEE SERVICE An account set-up fee of $25.00 will be debited from the rst check in the series when multiple checks are used in a single transaction. Fee payment not otherwise covered in this Agreement shall be debited from Merchants’ account on or about the 5th of each month for activity in the prior calendar month. An annual Fee of $85.00 is billed each year in December regardless of time of enrolment and cannot be waived or refunded.License Fee: When applicable, in consideration for the granting of the license and the use of the Software, Licensee agrees to pay Developer a recurring monthly gateway fee of $19.95 ofr the term of this agreement and any subsequent renewals. EPS 90 INFORMATION STANDARD TICKET AMOUNTS: TERMINAL/CHECK READER TYPE: FMP WARRANTY: Average Low High Terminal Model For 1 Terminal ($8.95) Reader Model For 2 Terminals (14.95) PCI-DSS DATA Does Merchant Use an Independent Servicer That Stores, Maintains, or Transmits Cardholder Information No Yes IF YES PLEASE PROVIDE: Name Phone No. Product or Service Being O ered Does the Merchant use Software Terminal If Software, What is the Payment Application Name What Version of the Payment Application is in Use If Terminal, What Type X X Signature Printed Name Date Signature Printed Name Date PERSONAL GUARANTEE The undersigned personally, and in his or her capacity of and for any named entity he/she represent, unconditionally guarantees the Bank and Electronic Payment Systems, LLC (EPS) the performance of this Agreement including by not limited to: payment of all sums due and owing; adherence to all terms and conditions of this agreement and any attachments hereto; and agrees to pay any attorneys fees and costs associated with enforcement of the terms, conditions, and agreements contained herein. Bank and/or EPS shall not be required to rst proceed against Merchant for enforce or see any other remedy before proceeding against the undersigned. This is a continuing guaranty and shall not be discharged or a ected by the death or the undersigned, shall bind the heirs, administrators, representatives and assigns and may be enforced by or for the bene t of any successor of Bank or EPS. The terms of this guaranty shall be for the duration of the Merchant Processing Agreement and all attachments thereto and shall guarantee all obligations which may arise or accrue during the terms thereof. Enforcement may be sought subsequent to any termination. X X Personal Guarantor (No Title) Personal Guarantor (No Title) The undersigned personally, and in his or her capacity of and for any named entity herein represents and warrants that all information provided by Merchant in the Merchant Application and Processing Agreement, and if elected as a service, the EPS 90 Application and Purchase Agreement, and any other documents thereto, is true and correct. Also, the undersigned authorizes the Bank an/or EPS or its representative to investigate the credit of each person and/or entity listed on the Merchant Application and represents that he/she has the authority to provide such information. MERCHANT HEREBY AGREES AND ACCEPTS ALL TERMS AND CONDITIONS CONTAINED HEREIN AND OUTLINED IN THE ARTICLES 1.01 THRU 3.14(K) RESPECTIVELY FOR THE MERCHANT PROCESSING AGREEMENT, AND IF ELECTED AS A SERVICE, ARTICLES 1 THRU 8 RESPECTIVELY OF THE ARTICLES, TERMS AND CONDITIONS OF THE EPS 90 APPLICATION AND PURCHASE AGREEMENT. FURTHERMORE, MERCHANT ACKNOWLEDGES RECEIPT OF A PHYSICAL COPY OF THIS AGREEMENT WHICH CONTAINS THE AFOREMENTIONED ARTICLES AND OTHER TERMS AND CONDITIONS THAT GOVERN THIS AGREEMENT. X X Signature Printed Name Date Signature Printed Name Date Accepted by Merrick Bank * Agent Relations * South Jordan, UT 84095 * 303.221.2510 Accepted by Electronic Payment Systems,LLC * Englewood, CO 80111 * 800.863.5995 By Title By Title
  • 3. In consideration of the mutual covenants and agreements herein Merrick Bank ("Acquirer"), Electronic Payment Systems ("EPS") acting on behalf of and for (c) in connection with a recurring transaction (or preauthorized order) pursuant to which goods or services are delivered to or performed for a cardholder Acquirer and the undersigned merchant ("Merchant") have agreed as follows as of the date of acceptance by Acquirer and issuance of a valid merchant number: periodically. Merchant agrees to the following conditions (i) Merchant must obtain a written request from the cardholder that the recurring transaction be charged to the cardholder's account. ARTICLE 1 CARD TRANSACTIONS (ii) the written request must specify the amount of the recurring transaction (or allow space for cardholder to specify a minimum and maximum amount if the recurring transactions are to be for varying amounts), the frequency of the recurring charges, and the length of time for which the preauthorized order is to remain 1.01 Honoring Integrated Card Solution in e ect. (a) Merchant shall honor without discrimination all valid cards of the type(s) made available for processing by EPS when properly presented as payment by (iii) before renewing a preauthorized order, Merchant must obtain a subsequent written request from the cardholder containing the information listed above customers in connection with bona de, legitimate business transactions. If Merchant does not deal with the public at large (such as in the case of a private club), (iv) Merchant must retain the cardholders written authorization for as long as the preauthorized order is in e ect and must provide a copy to Acquirer upon Merchant shall be deemed to have complied with this non-discrimination rule if it honors all valid Integrated Card Solution of cardholders who have purchasing request. privileges or memberships with Merchant. (v) Merchant must not deliver goods or perform services covered by a preauthorization order after being advised that the preauthorization has been canceled (b) Merchant shall not require, through an increase in price or otherwise, any cardholder to pay any surcharge at the time of sale or to pay any part of any charge or that the Card is not to be honored, and imposed on Merchant by Acquirer (Discounts for payment in cash, however, are permitted). (vi) Except as provided in Section 1.07, a recurring transaction may not include partial payments to Merchant for goods or services purchased in a single (c) Merchant shall not establish minimum or maximum transaction amounts. transaction, or for periodic payments of goods or services on which Merchant assesses additional nance charges. (d) Merchant shall not require a cardholder to provide identi cation information such as telephone number, address or driver's license number as a condition of (vii) Merchant must inform cardholder that he has the right to receive, at least 10 days prior to each scheduled transaction date, written notice of the amount completing a transaction, unless such identi cation is required by MasterCard International, Inc. ("MasterCard"), Visa U.S.A. Inc. ("Visa"), Discover ® Network rules and date of the next charge. Cardholder may elect to receive the notice and regulations and is permitted by the law of the state in which the transaction takes place, for example, in mail order transactions. (A) for every change (e) Merchant may not make a photocopy of a card under any circumstances and may not request that the cardholder provide a photocopy of the card as a (B) only when the transaction amount does not fall within the speci ed range shown on the order form, or condition for honoring the card. (C) only when the transaction amount will di er from the most recent charge by more than an agreed upon amount. 1.02 Advertising (d) Merchant may o er cardholders an installment payment option for its mail/telephone order merchandise subject to the following conditions (a) Merchant shall display adequately any advertising or promotional material provided or required by Acquirer to inform the public that Integrated Card Solutions (i) Merchants promotional material must clearly disclose the installment terms including but not limited to will be honored at Merchant's place of business. Such displays, however, are not required of private clubs and other Merchants that do not deal with the general (A) whether the plan is available only for selected items or for the total amount of any order and public, vehicle leasing companies at airport locations, transportation companies subject to government regulation, or other Merchants expressly exempted from (B) how shipping and handling charges and applicable taxes will be billed. The material also must advise cardholders who are not billed in the transaction this requirement by MasterCard, Visa, and/or Discover Network as applicable. currency of the Merchant that the installment billing amounts may vary due to uctuations in the currency conversion rates (b) Merchant shall not display or use advertising or promotional materials containing Acquirer's name or symbol which might cause a customer to assume that (ii) No nance charges may be added by Merchant. The sum of the installment transactions may not exceed the total sales price of the merchandise on a single Merchant honors only Cards issued by Acquirer. transaction basis (c) Merchant shall have the right to use or display the proprietary names and symbols associated with Integrated Card Solution only while this Agreement is in (iii) Authorization is required for each installment transaction. Merchant's oor limit is zero e ect or until Merchant is noti ed by Acquirer or any appropriate Integrated Card Solution organization to cease such usage. (iv) Merchant may not deposit the rst installment transaction with Acquirer until the merchandise is shipped. Subsequent installment transactions must be (d) Merchant shall comply with all applicable MasterCard, Visa, and Discover Network rules and regulations concerning the use of service marks and copyrights deposited. owned by MasterCard, Visa, and or Discover Network. (A) at intervals of 30 days or more, or (e) Merchant shall use the proprietary names and symbols associated with Integrated Card Solution only to indicate that Cards are accepted for payment and shall (B) on the anniversary date of the transaction (i.e. the same date each month) not indicate, directly or indirectly, that Acquirer. MasterCard, Visa, or any Integrated Card Solution organization endorses Merchant's products or services. (v) in addition to Merchant's name, an appropriate installment transaction descriptor (e.g. one of ve, two of ve) must be included in the Merchant name eld (f) Merchant shall not refer to MasterCard, Visa, or Discover Network in stating eligibility for its products, services or memberships. of the clearing record. 1.03 Card Examination (e) An imprint of the card is required whenever card is present. (a) Merchant agrees to con rm that user is cardholder. 1.09 Vehicle Rental Transactions (b) Merchant agrees to examine any card security features (such as hologram) included on the Card. Merchant shall compare the embossed account number on Regardless of the terms and conditions of any written preauthorization form, the sales slip amount for any vehicle rental transaction shall include only that portion the face of the Card with the account number indent on the signature panel. of the transaction, including any applicable taxes, evidencing a bona de renting of personal property by Merchant to a customer and shall not include any (c) Merchant shall, prior to completing the transaction, check the validity date and expiration date of the Card and shall not honor any Card that is not valid or that consequential charges. Nothing herein is intended to restrict Merchant from enforcing the terms and conditions of its preauthorization form through means other has expired, without proper authorization. than a Card transaction. (d) Where the magnetic stripe on the Card is read in connection with a transaction, Merchant shall compare the embossed account number on the Card to the 1.10 Returns and Adjustments, Credit Slips number displayed or printed by the terminal to ascertain that they are the same. (a) If with respect to any transaction, any merchandise is accepted for return or any services are terminated or canceled, or any price adjustment is allowed by the (e) Except in connection with a mail order, telephone order or pre-authorized transaction, Merchant shall not complete a transaction without presentation of the Merchant (other than involuntary refunds by airlines or other carriers when required by applicable tari s and except where otherwise required by law or Card by the cardholder and a proper examination by the Merchant of the Card. governmental regulations) Merchant shall not make any cash refund to the cardholder but shall deliver promptly to Acquirer a credit slip evidencing such refund (f) If the signature panel on the card is blank, Merchant shall: or adjustments. (i) review positive identi cation to determine that user is cardholder. Such identi cation must consist of a current o cial government identi cation document (b) Each credit slip shall be signed and dated by Merchant and include the transaction date, a description of the goods returned, services canceled or adjustment (such as a passport or driver's license) that bears the cardholder's signature; and made and the amount of the credit in su cient detail to identify the transaction and the embossed data from the Card and Merchant's imprinter plate. (ii) indicate such positive identi cation (including any serial numbers and expiration date) on the sales draft if the transaction is a Visa transaction, and if (c) The refund or adjustment shall be indicated on a credit slip and may not exceed the original transaction amount permitted by law. (Such information shall not be recorded for MasterCard transactions); and (d) The Merchant may limit its return, adjustment, refund or exchange policies provided that proper disclosure is made and purchased goods or services are (iii) require cardholder to sign the signature panel before completing the transaction; and delivered to the cardholder at the time of the transaction. (iv) request authorization. (e) Proper disclosure by the Merchant must be given at the time of the transaction by printing the following words or similar wording on all copies of the sales slip (g) In the case of a Visa card, Merchant shall compare the printed issuing bank identi cation number, which is directly above the rst four digits of the embossed or invoice being presented to the cardholder for signature in letters approximately 1.4 inch high and in close proximity to the space provided for the cardholder's account number. If the printed number and the embossed number do not match, Merchant shall call the voice authorization number and request a Code 10 signature operator. (i) "NO REFUND" For a Merchant which may not accept merchandise in return or exchange and may not issue a refund to a cardholder. 1.04 Authorization (ii) "EXCHANGE ONLY" For a Merchant which may only accept merchandise in immediate exchange for similar merchandise of a price equal to the amount of the (a) Before honoring any Card, Merchant shall request authorization from Acquirer's designated authorization center. original transaction. (b) Authorization numbers or positive account number veri cation response codes, as appropriate, shall be printed legibly in the designated area on the sales slip. (iii) "IN-STORE CREDIT ONLY" For a Merchant which may accept merchandise in return and deliver to the cardholder an in-store credit for the full value of the (c) If authorization is denied, Merchant shall not complete the transaction and shall use its best e orts by reasonable and peaceful means to follow any merchandise returned which may be used only in the Merchant's place(s) of business. instructions from the authorization center. (iv) A Merchant may, if permitted by applicable law, stipulate special circumstances agreed to by the cardholder (e.g. late delivery, delivery charges or insurance (d) Merchant shall be liable to Acquirer, regardless of any authorization, if Merchant completes a transaction when the cardholder is present but does not have his charge(s) as terms of the transaction, but under no circumstance shall a surcharge be assessed for the use of a Card. The wording to appear on the sales slip shall Card, the cardholder does not sign the sales slip, or the signature on the sales slip does not match the signature appearing on the Card or the signature panel on be any special terms of the transaction(s). the card is blank. (f) Merchant must deliver to the cardholder a true and complete copy of the credit slip at the time of the credit transaction. Merchant shall not process a credit slip (e) In no event shall an authorization be deemed to be Acquirer's representation that the particular transaction is in fact a valid, authorized or undisputed without having completed the purchase transaction with the cardholder. In no event may the credit exceed the amount of the original transaction. transaction entered into by the cardholder or an authorized user of the Card. 1.11 Cash Payments, Factoring, Split Sales (f) Where authorization is requested for a transaction involving suspicious or unusual circumstances the Merchant shall call and request a "Code 10" authorization (a) Merchant shall not receive any payments from a customer for charges included on any transaction record resulting from the use of any Card, nor receive any from Acquirer's designated authorization center. payments from a cardholder to prepare and present a credit slip for the purpose or e ecting a deposit to the cardholder's account. (g) An authorization for a restaurant transaction in which a gratuity is added to the sales slip by the cardholder is valid if the total transaction amount is within 20% (b) Factoring is the act of processing a transaction that is not the result of goods or services provided or sold by the Merchant and for the bene t of others. This of the authorization amount. includes any transaction that may generate a fee to Merchant for this service. These and any like transactions are PROHIBITED under this agreement. (h) If authorization is obtained for the estimated amount of a car rental transaction, Merchant shall disclose to cardholder such amount authorized on the rental (c) Split Sales are transactions that utilize the same card, at the same time in incremental amounts to achieve a desired authorization amount. If one card is used it date. must be for the full amount of the sale. This does not apply to Installment Orders as described in 1.08 above. (i) Merchant acknowledges that EPS and/or Bank will monitor Merchant's daily deposit activity. The deposit activity should remain consistent to the "approved" 1.12 Cash Advances monthly volume and average ticket amount approved on the Merchant Agreement and Application. If the Merchant should exceed the "approved" monthly Merchant agrees not to make any cash advance to a cardholder or take any cash advances for themselves, their employees, family members or their company, volume, the Merchant acknowledges that additional documentation could be required. Merchant agrees that Bank may upon reasonable grounds suspend the either directly or by deposit to the cardholder's account. Money orders sent by wire, contribution to charitable and political organizations, tax payments, insurance disbursement of Merchant's funds for any reasonable period of time required to investigate suspicious or unusual deposit activity. EPS and/or Bank will make good premium payments for (1) one quarter year or less, alimony and child support payments, and court costs and nes shall not be considered cash advances or faith e orts to notify Merchant immediately. EPS and/or Bank shall have no liability for any losses, either direct or indirect, which Merchant may attribute to any withdrawals. suspension of funds disbursement. 1.13 Transactions Acceptable Under This Agreement (j) In all cases the nal delivery and/or performance of all goods and/or services shall not exceed ninety (90) days from the date of the original transaction. Notwithstanding any other Sections, conditions, covenants or requirements contained herein, Merchant is approved to accept transactions, as outlined in this 1.05 Retention and Retrieval of Cards agreement in the normal course of Merchants business that are germane to Merchants business and within the "approved" average ticket and volumes for Merchant shall use its best e orts, by reasonable and peaceful means, to retain or recover a Card Merchant. Transactions should be within the reasonable context of the information provided by Merchant at the time of Application and conform to the standards (a) If Merchant receives a negative response from the account number veri cation service and until Merchant receives further instruction from Acquirer's established by S. I. C. (Standard Industry Code) that identi es their business. designated authorization center. 1.14 Disclosure and Storage or Cardholder Account Information (b) While making an authorization request. (a) Except as otherwise required by law, Merchant shall not, without the cardholders prior written consent, sell, purchase, provide, or otherwise disclose the (c) If Merchant is advised to retain the Card in response to an authorization request, or cardholder's account information or other cardholder information to any third party other than Acquirer. (d) Where the embossed account number, indent printed account number, and/or encoded account number do not match or an unexpired Card does not have (b) Merchant and/or any agent of Merchant shall store in an area limited to selected personnel and, prior to discarding, shall destroy in a manner rendering data the appropriate hologram on the Card face, or unreadable, all material containing cardholder account numbers including but not limited to card imprints, such as sales slips and credit slips, car rental (e) If the Merchant has reasonable grounds to believe the Card is counterfeit, fraudulent or stolen agreements and carbons. (f) The obligation of Merchant to retain or recover a Card imposed by this section does not authorize a breach of the peace or any injury to persons or property, (c) Merchant or any agent of Merchant shall not retain or store magnetic stripe data subsequent to the authorization of a transaction. and Merchant will hold Acquirer harmless from any claim arising from any injury to person or property or other breach of the peace. (d) Merchant will be responsible for maintaining all records of all transactions including but not limited to: original sales slips, signed sales drafts, signed credit (g) If a recovered card is retained by a law enforcement agency Merchant shall forward a legible copy of the front and back of the card to Acquirer, or other drafts, work orders, or any other document that pertains to the sales for which a credit card was used as a form of or partial payment of the subject transaction for Integrated Card Solution organization as appropriate to support payment of any applicable reward. a minimum of thirty-six (36) months from the date of the original transaction. 1.06 Completing the Transaction Record 1.15 Deposits Except as provided below, Merchant agrees to do all or the following when honoring a Card. Notwithstanding any other Sections, conditions, covenants or requirements herein, Merchant may accept deposits for goods and/or services to be performed in a (a) To enter on the sales slip the transaction date, a description of the goods or services sold, and the price thereof (including any applicable taxes) in detail timely manner. A deposit shall not be used as a payment to Merchant and is not to be used as interim nancing or a “Cash Advance” as outlined in 1.12 above. su cient to identify the transaction. Deposits, when identi ed by Acquirer, may be held in a reserve account until satisfactory completion of services and/or delivery of good can be veri ed. (b) To obtain the signature of the customer on the sales slip after the transaction amount is identi ed in the Total column. (c) To compare the signature on the sales slip and the signature panel of the Card and if the Card has a photograph of the cardholder to ascertain that the ARTICLE II PRESENTMENT PAYMENT AND CHARGE BACK customer resembles the person depicted in the photograph, and if either identi cation is uncertain, or the account numbers are not the same or Merchant otherwise questions the validity of the Card, to contact Acquirer's authorization center for instructions. 2.01 Presentment of Transaction Records to Acquirer (d) To Imprint legibly on the sales slip the embossed legends from the Card and from the merchant imprinter plate. If the imprinter does not legibly imprint the (a) Merchant may designate a third party (that does not have a direct agreement with Acquirer) as its agent for the purpose of delivering transactions embossed legends from the Card and Merchant plate. Merchant shall detail legibly the cardholder's name and account number and Merchant's name and place of data-captured at the point of sale by such agent if Merchant elects to use such third party as its agent for the direct delivery of data-captured transactions. business, as well as the name or trade style of the issuer as it appears on the face of the Card, the ICA number, the Card initials, if any, and both the e ective date Merchant agrees to the following conditions (for the purposes of this section 2.02, "Merchant" includes any agent designated by Merchant as permitted under this and expiration date. Merchant shall also record on the sales slip any other embossed data such as security symbols. section): (e) To deliver a true and completed copy of the sales slip to the customer at the time of delivery of the goods or performance of the services or for point of (i) Merchant must provide satisfactory notice to Acquirer that Merchant chooses to exercise the option speci ed above; transaction terminal transactions, at the time of the transaction. (ii) The obligation of Acquirer to reimburse Merchant for transactions is limited to the amount (less the appropriate discount fee) delivered by Merchant's (f) For transactions which originate at and are data captured using point-of-transaction terminals. Merchant must include the following information on the designated agent, and cardholder's copy or the sales draft. (iii) Merchant is responsible for any failure by its agent to comply with all applicable rules and regulation of MasterCard and Visa, including, but not limited to, (i) The cardholder account number any violation resulting in a charge back. (ii) Merchants name (b) Merchant shall present all sales data relevant to a transaction to Acquirer within the lesser of three (3) bank business days or ve (5) calendar days after the date (iii) Merchant's location code or city and state of the transaction, except that, (iv) The amount of the transaction (i) Merchant shall present no sales data until goods have been shipped or the services have been performed and Merchant has otherwise performed all or its (v) The transaction date principal obligations to the customer in connection with the transaction unless the cardholder agreed to a delayed delivery or goods and proper disclosures were (g) Transaction records must be produced for all transactions which originate at and are data captured using automated dispensing machines or limited amount made at the time of the transaction. terminals, except for transactions which originate at magnetic stripe reading telephones. Such transaction records must include at least the following information. (ii) When Merchant requests and receives authorization for delayed presentment and legibly prints on the sales slip the authorization number and the words (i) The cardholder account number "Delayed Presentment," Merchant must present the sales data within the period permitted for delayed presentment (not to exceed thirty (30) calendar days). (ii) Merchant's name (iii) If Merchant is obligated by law to retain a sales slip or return it to a buyer upon timely cancellation, Merchant must present the sales data within ten (10) (iii) the magnetic stripe reading terminal location code or city and state bank business days after the date of the transaction; and (iv) the amount of the transaction (iv) When Merchant has multiple locations or o ces and accumulates transaction records at a central facility, Merchant must present the transaction records to (v) the transaction date Acquirer within (20) calendar days after the date of the transaction. Merchants with multiple locations must deliver the transaction records in such a manner that (h) Whenever the uncoded account number cannot be read from the magnetic stripe. Merchant shall follow normal authorization procedures and complete the Acquirer is able to identify the transactions originating at each location. approved transaction using a manual imprinter. (c) Merchant shall deliver all credit data to Acquirer within three (3) bank business days after the credit transaction date, except that if Merchant has multiple 1.07 Multiple Transaction Records, Partial Consideration locations as described in subsection (b)(iv) above, Merchant must deliver the credit data to Acquirer within seven (7) business days after the transaction date. (a) Merchant must include on one transaction record the entire amount due for the transaction except in the following instances (d) Merchant shall not present to Acquirer, directly or indirectly, any transaction record that Merchant knows or should have known to be fraudulent or not (i) the transaction involves purchases made in separate departments of a multidepartment store authorized by the cardholder, that results from transaction outside Merchant's normal course of business, that results from a transaction not involving Merchant, (ii) the transaction involves delayed or amended charges for a vehicle rental transaction in which that contains the account number of a Card account issued to Merchant, or that was not the result of a transaction between Merchant and a cardholder. (A) the cardholder consented to be liable for such charges (e) If the transmission of sales data or credit data from Merchant to Acquirer is in the form of magnetic tape or electronic data, Merchant shall preserve a copy of (B) such charges consist of ancillary or corrected charges such as taxes or fuel fees, and not charges for loss, theft, damage, or tra c violations, and the sales and credit slips as per section 3.03. (C) Merchant sends the cardholder a copy of the amended or add-on-sales drafts (Sales drafts for such delayed or amended charges may be deposited (f) Merchant is prohibited from re-depositing any transaction which has previously been charged back and subsequently returned to Merchant. This prohibition without the cardholder signature provided that Merchant has cardholder's signature on le, and the words "Signature on File" are entered onto the signature applies with or without the cardholders consent or the Merchant's action. Merchant may, at its option, pursue payment from the customer in such event through panel of the sales draft). means other than a card transaction. (iii) the customer pays a portion of the transaction amount in cash, by check, with any card, or any combination of such payments at the time of the transaction 2.02 Acceptance and Discount and further provided that Merchant obtains authorization for that part of the transaction a ected with a card. (a) Subject to all terms and conditions contained herein, barring any event of insecurity as de ned in 2.03 below, and based on the proper execution and (iv) all or a portion of the goods or services are to be delivered or performed at a later date and the customer signs two separate sales slips, one of which presentment of electronic batches for settlement Acquirer will initiate payment to Merchant within three-(3) business days after the processing date of the represents a deposit and the second of which represents payment of the balance, and the balance sales slip is completed only upon delivery of the goods or received batch for the total face amount of each Sales Draft less any Credits, Discounts, Fees, Reserve Deposits or adjustments. However, Acquirer cannot performance of the services in which case Merchant agrees guarantee the timeliness with which any payment may be credited by Merchant's Bank to Merchant's account and such payments will be subject to Merchant's (A) to note on the sales slips the word "deposit" or "balance" as appropriate and the words "Delayed Delivery" Bank’s funds availability policies. All payments, credits, and charges are subject to audit and nal checking by Acquirer, and prompt adjustments shall be made for (B) if the total amount of the two slips exceeds the applicable oor limit, to obtain prior authorization and note the authorization date and approval code on inaccuracies discovered. the sales slips, and 2.03 Insecurity (C) not to present the "balance" sales slip until all goods are delivered or all the services are performed, or (a) Notwithstanding Section 2.02 Acquirer may withhold payment to Merchant or prohibit Merchant's withdrawal of funds then on deposit with Acquirer for any of (v) the cardholder is using the installment payment option o ered in accordance wit section 1.08 the following reasons; (b) Merchant agrees not to divide a single transaction between two or more transaction records to avoid obtaining an authorization (i) Acquirer is suspicious of any transaction records; (c) For sales processed at electronic P.O.S. terminals, multiple items individually billed to the same account will not be considered a violation of this Agreement if (ii) Merchant's volume of sales exceeds a stipulated amount or amounts that are typically generated during a particular period; separate authorizations are obtained for each item. (iii) Merchant's average ticket amount exceeds a stipulated amount; (iv) Merchant does not swipe Cards through electronic terminals; 1.08 Telephone Order, Mail Orders, Preauthorized Orders and Installment Orders (v) Merchant fails to authorize transaction; (a) If a Card transaction is made by telephone order (TO), mail order (MO), or preauthorized order (PO), the sales slip may be completed without a customer's (vi) Acquirer receives excessive retrieval request against Merchant's account as prior activity. signature or a Card imprint, but Merchant shall (vii) Excessive charge back's are debited against Merchant's account as prior activity; or (i) print legibly on the sales slip su cient information to identify the card issuer, Merchant and the cardholder including, Merchants name and address, the Card (view) If for any other reason Acquirer reasonably determines that withholding funds or preventing withdrawal of funds previously deposited with Acquirer is issuers name or trade style, ICA number and bank initials (if any), the account number, the expiration date and any e ective date on the Card the cardholder's necessary to cover anticipated charges from Merchant's Card activities. name, and any company name, and (b) In the event of the use of any provision in 2.03 (a) above it may be determined that a Pledged Reserve Account for Merchant must be established. This Account (ii) print legibly on the signature line of the sales slip the letter "TO", "MO" or "PO" (Recurring transaction' for Visa transaction), as appropriate can consist of an initial contribution requirement, a diversion of a percentage or all of current and/or future transactions or any combination thereof as determined (iii) obtain authorization for every sale for MO and TO( transactions, authorization must be obtained no more than seven calendar days prior to the transaction by Acquirer. Funds held will remain on deposit with Acquirer for a period of two-(2) years or until Acquirer determines, in its sole and absolute discretion, that the date. Merchant shall attempt to obtain the expiration date of the Card as part of the authorization inquiry. risk of charges to the Merchant's account has past. (b) in any non-imprint transaction (and whenever an expired Card is presented regardless of whether imprinted), Merchant shall be deemed to warrant the (c) Pledged Reserve Accounts can be applied to any debt of merchant to Acquirer and/or EPS. customer's true identity as an authorized user of the Card, whether or not authorization is obtained, unless Merchant obtains and notes legibly on the sales slip evidence of the customer's true identity X By Initialling Here You Are Con rming Acceptance and Receipt of This Agreement and a Copy Thereof