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CHASE 0 Merchant Services s 4 Northeastern boulevard, Salem, NH 03079-1952 • www,chasepaymentech.com Paymentech Phone: (603) 896.6000 • Fax: (603) 896-8715 s Marchant_Services@ChasePaymentech.com SECTION 4: TRANSACTION DIVISION (continued) Please check below if applicable: ® Bill Payment (A Bill Payment transaction is a transaction for an ongoing service/billing cycle that is known and agreed upon In advance by the merchant and cardholder. i,e. Membership or Insurance, etc.) Do you stock product? ❑ Yes ® No Do you provide custom orders at time of sale? De you own the product at the time of sale? ® Yes ❑ No Do you drop ship the product? ❑ Yes ® No If yes, what %: Are you filling your own merchandise orders? E Yes ❑ No If no, who is your fulfillment service bureau? Fulfillment Contact: Phone # ❑ Yes ® No SECTION 5: CHARGEBACK CONTACT: (required) IQA (Managorlsupervisor one who assigns work to MCAs) (Required far retail and Discover) MEZQA (Manager/supervisor– one who assigns work to MRAs) - NOTE: This contact may receive any exception documents that may need to be mailed orfaked, If not participating in Chargeback Mana ementthis will be the default contact for Char eback Mailingsecond contact will not be Ce wired Locatlon: ❑ Merchant ® Submitter ❑ Fulfillment (check one) If Submitter/Fulfillment, Name: ® Mr. ❑ Mrs. ❑ Ms. First Name: John Last Name: Morabito Title: CTO Phone #: 703-825-3525 Ext: Fax #: 877-256-8330 Alternate Fax #: Email Address: jmorabito@invoicecloud.com Address: 1815 Beulah Rd City: Vienna _— State/Prov: VA Zip/Postal Code: 22182 Country: USA Will this contact require access to: Transaction History ❑ Report Center ❑ both ® ? Account Masking for this contact? ® Yes ❑ NO Does this contact have a Paymentech Online User ID? ❑Yes ❑No If yes, provide User ID: CI ARGERgCK CONTACT: (required) MCA (Merchant Chargeback1. Analyst– one who works the chargeback's) Required for retail and Discoyo MRA ((Merchant Retrieval Analyst – one who works the retrievals Same as above (check here if the MCA/MRA Contact is the same as the IQA/MRQA contact) Location: ❑ Merchant ❑ Submitter ❑ Fulfillment (check one) If Submitter/Fulfillment, Name: ❑ Mr. ❑ Mrs. ❑ Ms. First Name: Last Name: Title: Phone #: Ext: Fax #: Alternate Fax #: Email Address: Address: City: State/Prov: Zip/Postal Cade: Country: Will this contact require access to: Transaction History ❑ Report Center ❑ both ❑ ? _ Account Masking for this contact? ❑ Yes ❑ No Does this contact have a Paymentech Online User ID? ❑Yes ❑No If yes, provide User ID Rev11/18/10 3 NewDivisionSetuo/cboo