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CHASE CP <br />Paymentech <br />Merchant Services o 4 Northeastern Boulevard, Salem, NH 03079-1952 * www.chasepaymentech.com • <br />Phone: (603) 896-6000 * Fax: (603) 896-8715 * Merchant-Services@ChasePaymentech.com <br />$ECTj0N.-7,-,METH0DS OF PAYMENT, (continued}' - <br />n PINIess Debit (Not applicable for retail merchants) <br />Please select the network vendors that you have approval from: NYCE [] STAR E] Pulse [] Accel ❑ <br />n 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, Interfink, Maestro, ACCEL, Alaska Options, Jeanie, AFFN, CU24) <br />EBT required: Yes n or NOE] ? FCS# required if processing food stamp transactions: <br />Ej Gift Card (U.S. only) <br />El Bill Me Later' payment option (US only) <br />❑ European Direct Debit <br />For EURO Only: (valid only for Euro currency divisions) <br />Descriptor I I I ITI I Ll 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) ❑ BE (Belgium) M DE (Germany) R NL (Netherlands)E] FR (France)E] <br />For GBP only: (Valid only for GBP currency divisions) <br />Descriptor I I I I❑I I❑I ] (7 bytes) <br />Default will be the first 7 characters of your Cardholder Descriptor unless otherwise noted <br />Country: UK R <br />Redeposit Parameter? M No M Yes Indicate # of days: The default is I" <br />R 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: <br />Email: <br />Descriptor : jPjAjYjPjAjLj* <br />Business Name: Customer Service Phone# <br />(75 character limit and must not contain the following characters &, <, and >.) <br />Sales Venue: El eBay ❑ Other Marketplace [I My own Website(include hftp:) <br />Avg.Transaction Price: $ Avg. Trans/Yr: <br />(18 bytes) <br />Percent of Annual revenue from online sales: <br />(Optional) <br />El Other <br />Authentication Method: (the method by which you (the merchant) will authenticate your customer with PayPal - you must choose only one) <br />PayPal Direct [I Cardinal Commerce Centinel F -I (if Cardinal Commerce is involved, please complete the following): <br />Are you using Ecometry or CommercialWare Software to facilitate your Paypal Integration? Yes Fj No E:1 <br />Time Zone (based on merchant's location): SSL Security: (check one) HTTP F1 or HTTPS F-1 <br />Tech Contact Name: Phone: Email Address: <br />Revl 1/18/10 5 NewDivisionSetup/cboo 153 <br />