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CHASE <br />Paymentech, <br />Merchant Services • 4 Northeastern Boulevard, Salem, NH 03079-1952 • www.chasepaymentech.com . <br />Phone: (603) 896-6000 • Fax: (603) 896-8715 • Merchant_Services@ChasePaymentech.com <br />SEC.TiON 8:: RRO:CESSIN'GFMETHOD <br />Who will be submitting transactions to Chase Paymentech? <br />® Merchant ❑ Other Co. Name: Invoice cloud (i.e. fulfillment co, or ECommerce provider) <br />If known, please provide the Presenter ID # (PID): or Submitter # (SU): <br />❑ 1. Will you be submitting transactions from a computer system? <br />What is the name of the manufacturer and model of your computer platform? <br />What is the name of the manufacturer and model of your modem? ❑ Internal ❑ Exte'rnal <br />Will you be coding to Chase Paymentech specifications? ❑ Yes ® No <br />Will you use NetConnect Batch for Connectivity? ❑ Yes ® No <br />Will you use NetConnect for connectivity for online authorization only? ❑ Yes ® No <br />If yes, NetConnect Contact Name: Email: <br />Userld (if existing): Phone: <br />If applicable, name the software vendor and application you will be using to format your files: <br />® 2. Will you be using the Orbital Payment Gateway? 'If this is the first division using the Orbital Payment Gateway, please contact <br />your Relationship Manager <br />Primary Contact`: Tony Cordova Used (if existing) <br />Address: 642 E Washington St. <br />City: Brownsville State: TX Zip/Postal Code: 78520 Country: USA <br />Phone: 956-542-6825 Email (required): tcordova@invoicecloud.com <br />`Primary contact must be the merchant contact for security needs. <br />Auto -Settle Time: none ❑ AM or ❑ PM To meet 10 ET Host window, this should be set no later than 8pm <br />to allow Gateway to settle. <br />Merchant Time Zone: NA Note: The Auto -Settle time is based in the merchant time zone. (US time zones only) <br />Profile Management required? ❑Yes or ®No Level of access: ❑ Merchant or ❑ Chain (select one, default is Merchant) <br />VT Import Functionality? ❑ Yes ® No <br />Auth Recycling? ❑ Yes ® No # of Recycle Attempts: (Default is 3) # of Days between attempts: <br />❑ 3. Will you be using: ❑ Paypal/Verisign ❑ CyberSource <br />❑ 4. Will you be using the iTerminal? (retail divisions only) <br />Primary Contact': UserlD (if existing) <br />Address: <br />City: State: Zip/Postal Code: Country: <br />Phone: Email (required): <br />`Primary contact must be the merchant contact for security needs. <br />Auto -Settle Time: ❑ AM or ❑ PM To meet 10 ET Host window, this should be set no later than 8pm to allow Gateway to <br />settle. <br />Merchant Time Zone: Note: The Auto -Settle time is based in the merchant time zone. (US time zones only) <br />Magtek Reader Needed? ❑Yes ❑No if Debit, PinPad Needed? ❑Yes ❑No If Yes, NBS7100❑ or Verifone SC5000❑ <br />(If Yes, Magtek Readers are purchase only) ( iTerminal is only certified to utilize the above PinPads and are purchase only) <br />Rev11/18/10 o New Division/cboo 154 <br />