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BANK DISCLOSiTRE PAGE <br />Sponsoring Member TI le ?JC-111C?B TIC <br />Member Bank Information Agent Information <br />The Bancorp Bank Phoenix Payment Systems, dba EPX <br />409 Silverside Road 1201 N. Market Street <br />Suite 1 OS Suite 701 <br />Wilmington, DE 19809 Wilmington, DE 19801 <br />302-385-5000 302-288-0600 <br />Important Bank Responsibilities <br />1. The Bancorp Bank is the only entity approved to extend acceptance of VISA products directly to a Merchant. <br />2. The Bancorp Bank must be a principal (signor) to the Merchant Agreement. <br />3. The Bancorp Bank is responsible for educating Merchants on pertinent VISA Operating Regulations with <br />which Merchants must comply. <br />4. The Bancorp Bank is responsible for and must provide settlement funds to the Merchant. <br />5. The Bancorp Bank is responsible for all funds held in reserve that are derived from settlement. <br />Merchant Information <br />Merchant Name: <br />Merchant Address: <br />Merchant Phone: <br />Important Merchant Responsibilities <br />1. Ensure compliance with cardholder data security and storage requirements. <br />2. Maintain fraud and chargebacks below thresholds. <br />3. Review and understand the terms of the Merchant Agreement. <br />4. Comply with VISA, MasterCard and Discover Operating Regulations. <br />The responsibilities listed above do not supersede terms of the Merchant Agreement and are provided to ensure <br />the Merchant understands some important obligations of each party and that the VISA Member-The Bancorp <br />Bank-is the ultimate authority should the Merchant have any problems. <br />Merchant's Signature <br />Merchant's Printed Name 8z Title <br />201 <br />Date <br />h?itials Page 19 of l9