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CHASE CO Merchant Services . 4 Northeastern Boulevard, Salem, NH 03079.1952 • www.oliasepaymentecli.com Phone: (603) 895.6000 • Fax: (603) 896.8715 a Merchant-Services@ChasePaymentech.com lea tyy�°te8°p'9:�?aC SECTIONS: PRODUCTS & SERVICES Please indicate if you will be using any of the following additional services. Please note that some of these services May require an additional contract addendum and/or information if you currently do not have the service. (For information on these services, please contact your Chase Paymentech Relationship Manager) 1. ❑ Authorization Recycling # of recycle attempts: (Default Is 3lfleft blank) # of days between attempts: _ (Default Is 3 if left blank) Output Options: ❑ Total (recommandedi ❑ Standard 2. ❑ MC/IM SecureCode ❑ UKDM SecureCode 3. ❑ Account Updater (US Only, Canada & UK Only): ❑Submitting or []Extracting (if extracting Indicate # of pays: _ (1.180 days) (if Orbital Gateway For UK -Account Updater Visa EU Merchant ID required $ =TION ?. METHODS OF PAYMENT ® Visa ® MasterCard ❑ JCB (US & Yen only) ❑ UK Maestro/Switch S010 (UK domicile and GSR currency only) (As a default Discover will be set up except for those merchants that are retained by Discover, or do not have a company location address in the United States. As a default Discover Diners added whenever Visa and MC are added.) ❑ Discover Canada (CAD only) ❑ Discover Diners Canada (CAD only) ❑ Private Label vendor: Private Label attributes Please supply attributes for Private Label Vendor (Please work with your Vendor to obtain these attributes - for example - HRS Household - Please provide Credit Plan #) ® Discover (conveyed only) (US only) SE# (15 bytes) ❑ American Express (conveyed) SE# (10 bytes) As a rule: (US SE should begin with "1-6", International SE should begin with a "9", Canadian SE should begin with a "93", International SE valid on some cross currency divisions dependent on presentment currency) AMEX Parameter Information Cardholder Descriptor: (Appears on your American L"xpress cardholder statement)(Atl other card types use descriptor in Section 4) (20 bytes) TAA #1: (22 bytes) TAA #2: (22 bytes) TAA #3: (22 bytes) TAA #4: (22 bytes) Do you supoort American_Express Partial Auths? American Express - Yes ❑ No ❑ For American Express Only, if yes — please select the following applicable option: Auth and Balance Return ❑ Partial Auth ❑ Both ❑ How have you been classified as a merchant by American Express?: (please select one) ® Electronic Check Processing Parameter (US and Canadian only) Company Name: C 11 1 t I y o I f I I S a I n I t I a A n a (16 bytes) Item Description: I s I e (10 bytes) Preferred Delivery Method: (select only one) ® Best Possible (US only) ❑ Facsimile Draft (US only) ❑ ACH/EFT (US & Canada) Redeposit Parameter? ❑ Yes ® No Indicate # of Days: 0 The default is °1• How do you obtain authorization from consumers? (Select only one) ❑ Written consent ❑ Telephone E Internet ECP Maximum Sale (If blank, these amounts will derault to match the Bank Card Transaction Amounts. Enter an amount Transaction Amount: here only if the Maximum Sale and Refund amounts for ECP should be different than Bank Card) ECP Maximum Refund (If blank, these amounts will default to match the Bank Card Transaction Amounts. Enter an amount Transaction Amount: here only if the Maximum Sale and Refund amounts for ECP should be different than Bank Card) _ (Approval will be required for any temporary or permanent Increases to this telling limit). Revl1/18/10 4 NewDivisionSetup/cboo