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Ver. 2.7 <br />° +' �DogLlcense <br />®• 11/19/2015 <br />Invoicing Parameters sheet must be completed for each invoice type. <br />• In-house • • - Non -Submitter <br />° • • ®Visa ® MasterCard ❑ Discover ❑Amex ®EFT/ACH <br />• • ❑EBPP ❑Cloud Store ® Cloud Pay ❑ OBD ❑ IVR ❑Kiosk <br />Billing Frequency: Monthly Number of Bills: 2,500 <br />Number of Cycles: <br />Number of Installments: <br />1 <br />Average Invoice Amount: <br />25 Highest Invoice Amount; <br />$ <br />-- <br />1,000 <br />Billing Months (please select the applicable months below): <br />❑Jan ❑Feb ❑Mar ❑Apr ❑May ❑Jun ❑ Jul ❑ Aug ❑ Sept ❑Oct ❑ Nov ❑ Dec ® All <br />• ®• ❑ 1.t -loth ❑ 11th -20th ❑ 210 -31st <br />• ° ° • • ❑ Biller ❑ Template ❑ Bill Print Vendor (please complete below <br />IHEardW�Iare:C�hooseitem. �Choosen <br />QTY item.Provided by: El Sales Rep El Operations <br />Per Unit Price: $ Shipping Address: <br />_ (if different than location address) <br />Total Due: $ I <br />Sel fees <br />Item Paid b payer Item Paid by Biller <br />❑ Credit Card: <br />® <br />Credit <br />Interchange, fees, dues assessments+ <br />% with $ Minimum <br />Card: <br />Authorization $ 020' + 50 7- BP <br />❑ EFT/ACH: $ <br />per item ® <br />EFT/ACH: $ 0.50 per item <br />❑ Flex Pay ACH: $ per item ❑ Flex Pay ACH: $ per item <br />Item Paid by payer Item Paid by Biller <br />❑ Credif Ctlrd: El Interchange, fees, dues assessments+ <br />%with $ Minimum <br />(Without Visa Acceptance) Card: Authorization $ + % BP <br />❑ EFT/ACH: $ Per item ❑ EFT/ACH: $ Per Item <br />• . • - • * • - + - • • • • - • • • • • • ' <br />ME <br />❑ Credit Card Service Fee: $F Max Cap for Credit Cards: $ <br />❑ EFT/ACH: Service Fee: $�', ❑ Paid by payer ❑ Paid by Biller <br />venclol <br />interactive Voice Response - IVR IVR <br />❑ Paid by payer Service Fee + $ ❑ Paid by Biller $ per item surcharge <br />Notes/Specloll Handling.- <br />TCloutl Pay (i.e. Web services payment processing) through the City's current provider of Basic EBPP, InfoSend. <br />. -- <br />2/12/2016 • '<> --Hans Nielsen <br />Please note the above requested date is not guaranteed. The implementation time frame is not guaranteed subject to change and delays to <br />workload, systems/data requirements, biller cooperation and other factors. <br />