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CHASE Merchant Services • 4 Northeastern Boulevard, Salem, NH 03079-1952 • wvw.chasepaymentech.com <br />Phone: (603) 896-6000 • Fax: (603) 896-8715 • Merchant _Services n ChasePaymentech.com <br />SECTION 7: METHODS OF PAYMENT (continued) <br />❑ PINIeSS Debit (Not applicable for retail merchants) <br />Please select the network vendors that you have approval from: NYCE ❑ STAR ❑ Pulse ❑ Accel ❑ <br />❑ PIN Based Debit (Aoelicable to retail merchants only) <br />PIN BASED DEBIT Requires a PIN Pad - please complete section 8, item #4, entitled "Will you be using a <br />Point -of -Sale terminal (US and Canada only) or Point -of -Sale software?" <br />If checked above, this division will be setup for the following network vendors with the exception of EBT: <br />(Pulse, NYCE, STAR, interlink, Maestro, ACCEL, Alaska Options, Jeanie, AFFN, CU24) <br />EBT required: Yes ❑ or No ❑ ? FCS# required if processing food stamp transactions: <br />❑ Gift Card (U.S. only) <br />❑ Bill Me Later® payment option (US only) <br />❑ European Direct Debit <br />For EURO only, (Valid only for Euro currency divisions <br />Descriptor (18 bytes) <br />Default will be the first 16 characters of your Cardholder Descriptor unless otherwise noted <br />Please select country(s) in which you will offer Direct Debit: <br />AT (Austria) ❑ BE (Belgium) ❑ DE (Germany) ❑ NL (Netherlands) ❑ FR (France) ❑ <br />For GBP only: (Valid only for GBP currency divisions) <br />Descriptor I I I —I I LL� (7 bytes) <br />Default wilt be the. first 7 characters of your Cardholder Descriptor unless otherwise noted <br />Country: UK ❑ <br />Redeposit Parameter? ❑ No ❑ Yes Indicate # of days: The default is <br />❑ PavPai (Valid for Us currency only) <br />Payer Email Address: <br />(32 character Limit) (must be a unique email address belonging to the merchants business and must be working at the time of account creation. <br />Note: No two accounts or divisions can share the same Payer email address.) <br />Customer Service Email Address: <br />(127 characterlimit) <br />Primary Contact Name: Phone: Email: <br />Descriptor : I P I A I Y I P I A I L (18 bytes) <br />Business Name: Customer Service Phone# (optional) <br />(75 character limit and must not contain the following characters &, <, and >.) <br />Sales Venue: ❑ eBay ❑ Other Marketplace ❑ My own Website(include http:) ❑ Other <br />Avg.Transaction Price: $ Avg. Trans/Yr: Percent of Annual revenue from online sales: % <br />Authentication Method: the method by which you (the merchant) will authenticate your customer with PayPal–you must choose only one) <br />PayPal Direct ❑ Cardinal Commerce Centinel ❑ (if Cardinal Commerce is involved, please complete the following): <br />Are you using Ecometry or CommercialWare Software to facilitate your Paypal Integration? Yes ❑ Na ❑ <br />Time Zone (based on merchants location): SSL Security: (check one) HTTP ❑ or HTTPS ❑ <br />Tech Contact Name: Phone: Email Address: <br />Rev11t18110 5 NewDivisionSetupicboo <br />