Laserfiche WebLink
A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />Confirmation <br />Agreement Approval <br />Merchant Acceptance — Each person signing below agrees to the terms and conditions stated in the front and back of this agreement <br />and certifies that all information provided in the application is true, correct and complete. Client acknowledges and agrees that we, our <br />Affiliates and our third party subcontractors and/or agents may use automatic telephone dialing systems to contact Client at the <br />telephone number(s) Client has provided in this Merchant Processing Application and Agreement and/or may leave a detailed voice <br />message in the event that Client is unable to be reached, even if the number provided is a cellular or wireless number or if Client has <br />previously registered on a Do Not Call list or requested not to be contacted by Client for solicitation purposes. Client hereby consents <br />to receiving commercial electronic mail messages from us, our Affiliates and our third party subcontractors and/or agents from time to <br />time Each signer authorizes CardConnect LLC and/or the Member Bank or any agent of the Member Bank, to make whatever <br />inquiries CardConnect LLC and/or the Member Bank deem appropriate to investigate, verify, or research references, statements or <br />data, including personal credit reports for the purpose of this application. Merchant understands this agreement shall not take effect <br />until Merchant has been approved by CardConnect LLC and/or the Member Bank and a merchant number is issued. <br />You further acknowledge and agree that you will not use your merchant account and/or the Services for illegal transactions, for <br />example, those prohibited by the Unlawful Internet Gambling Enforcement Act, 31 U.S C Section 5361 et seq, as may be amended <br />from time to time, or processing and acceptance of transactions in certain jurisdictions pursuant to 31 CFR Part 500 et seq and other <br />laws enforced by the Office of Foreign Assets Control (OFAC). <br />Client certifies, under penalties of perjury, that the federal taxp <br />provided herein are correct. pith• <br />Sign Your Agreement i _ .•:,�'� <br />Signature <br />Car onnectLLC <br />plication Approved By: <br />Signature <br />Title <br />er identification number and corresponding filing name <br />'^•�;'�R coul�s't• <br />Date <br />12, 2020 <br />Wells Fargo Bank N.A. (a member of Visa USA, Inc. and MasterCard International, Inc.) <br />Application Approved By: <br />Signature <br />Processor Information <br />Name <br />Address <br />URL <br />Customer Service (Phone) <br />CardConnect LLC <br />1000 Continental Drive, Suite 300, King of Prussia PA, 19406 <br />APPROVED AS TO FOAM <br />AND LEGAL SUFFICIENCY <br />BY <br />Page 11 of 11 ' `eErdhrbefnbe kW,$RQISfibd ISO of Wells Fargo Bank <br />www.cardconnect com <br />1-877-828-0720 <br />Attest: Jeffrey R. Smith, Clerk of <br />Circuit Court and Comptroller <br />N A4Cord!C�A Deputy le on CardCo2305 <br />