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OnvoiceCioud' Biller Order Form ,,,,, <br /> ilnvoice i'Patc-n-ole-lei-- <br /> Utility 7/5/2016 <br /> Invoicing Parameters sheet must be completed for each invoice type. <br /> Advanced Non-Submitter (Chase) <br /> TP <br /> I -�' ' Wl-11 <br /> NVisa 0 MasterCard 0 Discover DAnnex NEFT/ACH <br /> MEBPP OCloud Store 0 Cloud Pay 0 OBD 0 IVR DKiosk <br /> S' <br /> Billing Frequency: Monthly Number of Bills: 50,000 <br /> Number of Cycles: Weekly Number of Installments: N/A <br /> 1 <br /> Average Invoice Amount: I F$58 Highest Invoice Amount: $ $125,000 <br /> Billing Months(please select the applicable months below): <br /> 0-lan OFeb OMar DApr DMay DJun El Jul 0 Aug 0 Sept 00ct 0 Nov 0 Dec 0 All <br /> N 1't- 1 0th [g 11th-201h ED 2111-31 st <br /> 0 Biller D Template 0 Bill Print Vendor (.o:ease -,-c mole te be ow) <br /> Cathedral <br /> Lori Forester 4074541633 <br /> �o; <br /> Card Readers: [pad QTY 7 Provided by: E:I Sales Rep ®Operations <br /> Per Unit Price: $ 15 Shipping Address: <br /> Monthly (if different than location <br /> Total Due: $ 000 address) <br /> AL; <br /> —r _U T5 <br /> 8 <br /> )D r-"'fna Ruv4v Z'41 LJ OF li <br /> Item Paid by p yer Item Paid by Biller(Non-Submiffer) <br /> • Credit Card: 01 Credit Interchange,fees,dues assessments+ <br /> r %with$F Minimum Card: Authorization $ [- + I - %BP <br /> IF— <br /> • EFT/ACH: $ per item F-I EFT/ACH: s Per item <br /> F <br /> • Flex Pay ACH: $ per item ID Flex Pay ACH: per item <br /> Item Paid by payer Item Paid by Biller <br /> • Credit Card: %with$f Minimum 1Z Credit Interchange,fees,dues assessments+ <br /> Card: Authorization $ 5-26 + F—642 %BP <br /> • EFT/ACH: Per item 0 EFT/ACH.=$ F035 Per Item <br /> K <br /> ❑ Credit Card Service Fee: $ Max Cap for Credit Cards: $ <br /> ❑ EFT/ACH: Service Fee: $ ID Paid by payer El Paid by Biller <br /> o Paid by payer Service Fee +$ 0 Paid by Biller 1 $1 666 per item surcharge <br /> 51 <br /> IVR provided through existing provider, Invoice Cloud just acting as merchant processor <br />