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InvoiceCloud` <br />INVOICE PARAMETERS <br />Immice Parameters must be completed for each invaice type <br />Biller Order Form <br />Invoice Type <br />Biller Software <br />Parks & Recreation Date 8/22/2017 <br />CrvicRec I Pricing Model Non -Submitter <br />Products <br />❑EBPP ❑Cloud Store ❑+Cloud Pay Cl pay By Text ❑IVR ❑0110 E] Kiosk <br />[]Singe Sign -On ❑8111 Processor ❑POSConnect ❑CSRConnect ❑PayNeaMe <br />Services <br />QVISA/Masle(Card/DIscover [:]American Express ❑�ACH/EFT <br />BILLING DETAILS <br />Please Indicate which months bills are sent by placing the bill count for each month below: <br />JanFeb <br />Mar <br />Apr May <br />lune <br />Jul <br />Aug <br />Sep <br />Oct <br />Nov <br />Dec <br />100 <br />100 100 <br />100 1 100 <br />1 100 <br />100 <br />100 <br />1 100 <br />f 100 <br />100 <br />..11 <br />200 <br />Avg Invoice $ 50.00 Max Invoice $5000.00 Siam 100 <br />PRINTED BILLS <br />Bill Mailing Dates ❑1st -10th ❑11th -20th ❑21st -31st <br />Bill Image Provider ❑Template DBille, ElBiliff Print Vender ❑Software Partner <br />Bill Print Vendor Contact Phone <br />HARDWARE <br />Card Readers quantity I Provided By loperations <br />Per Unit Price $0.00 Monthly Shipping <br />Total Due $0.00 Monthly Oyelgererntrierttaan <br />taralmn aedress) <br />SERVICE FEES <br />Select(imn the bebw to mefcme 1J the,ervlre fee enll beynid b the Payero,l Wye, w9lab... hke. <br />Paid by Payer <br />Paid by Biller (Non -Submitter) <br />Credit Card % with "$minimum <br />Credit Card <br />I�, <br />0.2 <br />rlmm.Fee,amnsua,mem,. <br />mtv¢Iume. lem.due asu,smznb. <br />I$ ♦ 50 %BP <br />EFT/ACH ' ❑ $per item <br />EFT/ACH L+'� D.50 <br />IS per Item <br />Flex Pay ACH �$ per item <br />Flex Pay ACH <br />$ per Item <br />UTILITY INVOICE TYPE <br />Paid by Payer Paid by Biller <br />Credit Card % with "$ minimum Credit Card <br />(Without Viso Arreptonce) <br />JmaFee <br />❑ <br />p<r llerv�Fee.omAfleesfinenh• <br />!meer<Iureq fees, due assessments. <br />$ t = %BP <br />EFT/ACH ❑ IS per item <br />IS <br />per Item <br />UTILITY FLAT RATE <br />Flat date Jar U04ior credd eurds must bepaidbypayer <br />Credit Card <br />EFT/ACH <br />Li Service Fee: <br />❑ ) Service Fee: <br />$ Max Cap for Credit Cards <br />$ EFT/ACH Paid By <br />_INTERACTIVE VOICE RESPONSE (IVR) <br />Paid by Payer Service Fee: 5 Paid by Biller ❑ Per Item Surcharge $ <br />NOTES/SPECIAL HANDLING <br />No Discover, Visa and MasterCard only. <br />r - u <br />ue.e <br />25C-93 <br />