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MO/FO QUESTIONNAIRE: COMPLETE THIS SECTION IF PROCESSING LESS THAN 70% CARD PRESENT:
<br />What percentage of soles are to: Bnsinnva Consumer
<br />% Individual Cannata
<br />Method ofMwkamg: 0 Nem-papa/mngonne 0 Television/Radio ❑ Internet O Direct Moil Brochure and/or Catalog 0 Outbound Telemarketing Salo ❑Other.
<br />Percentage of products sold via' Telephone Orders % Mail Fay Orders %' interna Orders % Other: asszarazzsz-
<br />Who ;enema the orda1 0 Merchant 0 Pediment Cater 0 Other
<br />Who coal credit card 01f0 tan into the omen* system? 0 Merchant 0 Futilimao Cater 0 Constancy 0ONer
<br />Ifcre ht card payment information taken ova me alarm, is payment charnel encrypted by 501. or beta? 0 No 0 yen
<br />If Merchant is m ecommace Merchant, is a Merchant Certificate utilirtd^ 0 No 0 yen dyes please provide the Moon .
<br />Maclwn Certificate Number Caufwtelsswa F_vp. Date. _ 5.01000000 ❑ledividual 121Shared
<br />Do you own the pdua/Invanor Doo ❑Ya Is so product stored m your business Minion? 0 N Dyer If ne, wee is it mot'
<br />After charge authorization row long roil product shred days Who ships the product
<br />Product Mogul by: Damao 0 Other Deliwav receipt requested? 0 Yes D No
<br />IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A
<br />NEW ACCOUNT
<br />To help the govermnent fight the funding of lomoi and money laundering activitis, Federal law requires all financial institutions m obtain, verify, and record information that identities each person who opens an account
<br />What this means for you! When When you opon account, we will ask for your name, address, date of birth, and other information duo will allow u a Mandy you We will also ask fora copy of your driver's liceme or other
<br />identifying dnalments
<br />MERCHANT APPLICATION AND AGREEMENT ACCEPTANCE (Capitalbad terms not defined in this Acceptance section have the meanings set forth in the Terms and Conditions section)
<br />'By omitting this Merchant Application on behalf of the merchant described above ('Merchant'), the undersigned individual(s) rcpresau(s), wortnnt(s), and iakmsy,lodges(s) ohm: (i) An information contained in this
<br />Merchant Application CAppieatirm') is true, coney and complete as of the dote of this Application; (ii) it the Merchant is a arpora1.00, limited liability company, or partnership, the iodic duol(s) eseeutrng this Application
<br />have the requisite legal power and authority to complete and submit this Application on behalf of the Merchant ad to make and provide the acknowledgements, authorisations and agreements set forth harem on behalf of the
<br />Meroham and indnidually; (111) The information contained in this Application is provided for the menthe of obtaining, or mainmining, a membant atcount for the Merchant with the Sponsor Bank (:BANK') and BANK will
<br />rely on the information provided herein in its approval process and in setting the applicable Discount Rate, Approval Average Ticket, mil Approved Monthly Bonkcord Volume. (iv) BANK is authoiiaid to mveodgate, eider
<br />through its own agents or through alit Macao/agencies, the credit of the Merchant and each person listed on !this Application; (v) BANK will detamite all rates, fon and charges and notify Merchant of the approval tea
<br />and by Merchant's submission and acceptance of Merchmt's firm settled transaction Merchant agrees to pay such approved fen; (en) The Mecham Agtemoott will tan take draa until Merchant hes boa 4Plvtwal by
<br />BANK and a madam number has been laved to merchant; and (vii) The undersigned has received, read, understood, the Merchant Agreement, which is Incorporated herein by reference thereto, and agrees on behalf of
<br />Ure n mhant to be bound by the terns of such Merchant Agreement. The merchant on whose behalf this Application is being sfimittd acknowledges that if thts Application is being submitted to Merrick Bank es the Sponsor
<br />Bank. ETS CORPORATION will may also be o panty to this Machan Agnomen.. In such case, Merchant ocknow ledges that ETS CORPORATION will rely on the representations and warmth. -set forth in this Applicotioo
<br />for Merchant Agreement and unless otherwise -r or prohihnd by Association or applicable law, ETS CORPORATION will have all the tights of 13AN'K nada this Appltceuon and Agreement
<br />MERCHANT:
<br />R1/ 811
<br />Principal 6p X
<br />Pant None: Date,
<br />Principal 02. X
<br />Print Name:
<br />Date:
<br />BANK:
<br />Nome and Title
<br />Date:
<br />ETS CORPORATION:
<br />Dote:
<br />None tail oak. HADI AKKAD - VP
<br />CONTIN r - RSONAL GUARANTY PROVISION — PERSONAL GUARANTOR (Capitalised terms not defined ill this Guaranty section have the meanings set forth below in the Terms and Conditions section)
<br />13y signing below, - disidual or entity CGummtor) Jointly and .severally (if there is more than one Gukmntes) and unemditmnaily guarantees to ETS CORPORATION and BANK the prompt • . t and full and
<br />complete performance of all o• ns of the Merchant identified above under the Merchant Agrama, as amended from time to time, including, Menai'limitation, all promises and co -• - of the Merchant, and all
<br />aromas payable by the Merchant under ImamAgreement, including, without limitation, chirps, interest, cuts and other expenses. such as annrneyb fns and court cost, 11. among other things, that EIS
<br />CORPORATION or BANK cin demand performanth sment f any Guarantor if the Merchant fails to perform my obligation or pay what the Merchant owes Agreement. Each Gunanmr agrees dem his or
<br />ha liability under oho guaranty will trot be limited or canes 0010, (1) the Merchant Agreement canna 4 enforced against the MMchant for any re .stay, without limitation, bankmptey proceedings; (2) oma
<br />ETS CORPORATION or BANK agces to changes or modifications in . achmt Agreement, with or without notice to Guarantor, (31 ETS CO' • a •.. )N or BANK releases any other Guarantor or the Merohent from
<br />any obligation under the Merchant AgnomenL (4) any law, regulation, or ode v public authority offerer the rights of either ET' ."a RATION, Merchant, or BANK under the Metcham Aga -menu and/or (5)
<br />anything else happens that may alka the rights of either ETS CORPORATION or BAN '.sI the Machin ms other f - ., or. Each Guarantor further agrees that. (a) ETS CORPORATION and RANK each may
<br />dela' enforcing my of its rights under this guaranty without losing iamb rights and baehbasin!w •:liable Slat uiWatkins; (b) ETS CORPORATION and BANK - each cm demand pa•mau from such Guarantor
<br />without first seeking payment from the Mrchnnt or any other Guarantor or from any security held by the Bo .. . (c) .such Guarantor will pay all court costs, ettotney's fees, and oonaoon costs incurred by either ETS
<br />CORPORATION or the BANK in minnection with 'the enforcement of the Merchmt Agrcnmcnt or , nrmty, whetter • there is a law mit, and such additional fees and costs as may be' 4000104 by a court. If due
<br />Merchant is a corporation or bmirod liability company, this Guaranty MIA be esecutd by 0 principal or ' ni M o ham.
<br />•
<br />Principal 01 Principal 02:
<br />Print Name X Date Print Name: X Date,
<br />18
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