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CHASE CP Merchant Services-4 Northeastern Boulevard,Salem,NH 03079-1952 *www.chasepaymentech.com• <br /> Paymentech Phone. (603)896-6000 9 Fax:(603)896-8715 Merchant—Services@ChasePaymentech.com <br /> F] 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 (Applicable 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 0 or No 0 ? FCS#required if processing food stamp transactions <br /> Ej Gift Card (U S. only) <br /> El Bill Me Later®payment option (US only) <br /> F-1 European Direct Debit <br /> For EURO only:(valid only for Euro currency divisions) <br /> Descriptor I I I I I I I I I I I I I I I I I (16 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) 0 BE(Belgium) ❑ DE(Germany) ❑ NL (Netherlands) ❑ FR(France) El <br /> For GBP only:(valid only for GBP currency divisions) <br /> Descriptor I I I I I I 1 1 (7 bytes) <br /> Default will be the first 7 characters of your Cardholder Descriptor unless otherwise noted <br /> Country- UK R <br /> Redeposit Parameter? E] No D Yes Indicate#of days The default is"'I" <br /> ❑ PayPal (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 character limit) <br /> Primary Contact Name. Phone. Email. <br /> Descriptor * I P I A I Y I P I A I L I * I I I I I I I I I I I (18 bytes) <br /> Business Name. Customer Service Phone# (Optional) <br /> (75 character limit and must not contain the following characters&,<,and>) <br /> Sales Venue: El eBay El Other Marketplace ❑ My own Website(include http-) ❑ Other <br /> Avg.Transaction Price. $ Avg TransNr- 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 El 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 [:1 No [] <br /> Time Zone(based on merchant's location) SSL Security- (check one) HTTP D or HTTPS F1 <br /> Tech Contact Name Phone Email Address <br /> Rev11/18/10 5 NewDivisionSetup/cboo 153 <br />