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DocuSign Envelope ID: 7BAFA4EF- DE91- 4D64- A904- 630EDDFF2843 <br />CARD ACCEPTANCE (PLEASE CHECK EACH CARD YOU WISH TO ACCEPT.) <br />PRICING CATEGORY <br />❑ ALL VISA /MASTERCARD /AMEX/UNIONPAY/ q�py� `/'� /� <br />Y /{ <br />® RETAIL ❑ SUPERMARKET <br />DISCOVER CARDS (JCB, DI, PAY PAL PAYMENT DEVICE) <br />El RESTAURANT ❑ MO /TO /INTERNET <br />® VISA CREDIT ® VISA DEBITED MC CREDIT ® MC DEBIT ® DISCOVER(JCB, DI, PAY PAL PAYMENT DEVICE) ❑ UNIONPAY ❑ AMEX <br />❑ LODGING ❑ ARU <br />PRICING INFORMATION <br />FEES <br />VISA/MASTERCARD /U N ION PAY/ <br />PRICING PROGRAM: <br />DISCOVER CARDS <br />AMERICAN EXPRESS <br />APPLICATION <br />$0 <br />JCB DI PAY PAL PAY DEVICE <br />(FIXED ONLY) <br />RATE' <br />PER ITEM' <br />RATE <br />PER ITEM <br />INSTALLATION/TRAINING <br />$0 <br />QUALIFIED <br />% <br />$ <br />% <br />$ <br />REPORTING & SUPPORT PACKAGE (PER MONTH) <br />$0 <br />MID QUALIFIED <br />% <br />$ <br />% <br />$ <br />MONTHLY MINIMUM <br />$15 <br />NON QUALIFIED <br />% <br />$ <br />% <br />$ <br />CHARGEBACK(PER OCCURRENCE) <br />$15 <br />0 <br />wOPT. <br />❑ CHECK CARD ❑ SPRMKT ❑ QPS /SMALL TKT <br />RETURN ITEM /NSF (PER OCCURRENCE) <br />$20 <br />~ <br />% <br />$ <br />STATEMENT: ® ELECTRONIC OR ❑ PAPER <br />MONTHLY STATEMENT MAILING <br />PAPER STATEMENTS ONLY <br />$10 <br />OPT. REWARDS <br />0 <br />00% <br />$ <br />OPT. COMMERCIAL CARD <br />% <br />$ <br />RUSH SHIPMENT <br />$ <br />INTERCHANGE PLUS <br />.015 % <br />$ <br />% <br />$10 <br />VERIZON DATA PLAN (PER DEVICE): (PER MONTH) <br />$ <br />CHECK CARD QUALIFIED <br />% <br />$ <br />VERIZON DATA PLAN OVERAGE (PER MB) <br />$ 0,05 <br />QUALIFIED <br />% <br />$ <br />% <br />$ <br />OTHER: <br />$ <br />CL <br />U <br />REWARDS QUALIFIED <br />% <br />$ <br />AUTHORIZATIONS <br />vMID <br />QUALIFIED <br />% <br />$ <br />% <br />$ <br />VISA (PERAUTH) <br />$ <br />VOICE -ARU (PER AUTH) <br />$0.85 <br />= <br />COMMERCIAL NON QUALIFIED <br />% <br />$ <br />MASTERCARD (PERAUTH) <br />$ <br />VOICE OPERATOR (PERAUTH) <br />$0.85 <br />z <br />W <br />NON QUALIFIED <br />% <br />$ <br />% <br />$ <br />DISCOVER(PERAUTH) <br />$ <br />VOICE - AVS(PERAUTH) <br />$0.85 <br />FIXED - PRICING PGM: <br />% <br />$ <br />% <br />$ <br />UNIONPAY (PERAUTH) <br />$ <br />VOICE BANK REF (PERAUTH) <br />$0.85 <br />*RATESAREFORALL CARDACCEPTANCE TYPES <br />SELECTED. ALL CARD <br />BRAND ASSESSMENTS <br />WILL REPASSED THROUGHATCOST. <br />PCI SECURITY PROGRAM /SAFE -T PACKAGE <br />AMEX (PERAUTH) <br />$ <br />DIAL COMMUNICATION (PERAUTH) <br />$0.024 <br />SECURITY PROGRAM (PER MONTH): /PCI <br />$! / <br />PIN DEBIT (ALL DEBIT NETWORK FEES WILL BE PASSED THROUGH AT COST) <br />SOLUTION PACKAGE <br />PIN DEBIT MONTHLY FEE <br />$ <br />$ <br />IC PLUS (PERAUTH) <br />$ <br />IC PLUSIENH. IC PLUS: MONT =ICPLS /AUTH= ASSOC),(TIERED /DIFFERENTIAL: MONT =ICDIF /AUTH= ASSOC) <br />(PER MONTH. PLUS TAXES, IF APPLICABLE) <br />OTHER CARD TYPES EXISTING <br />AMEX SE # (10 DIGITS): PER AUTH: $ <br />EBT SE # (7 DIGITS): PER AUTH: $ <br />USA- GOV -ELV -0218 <br />