DocuSign Envelope ID: E9E51531-6EFC-44B4-9EC9-8820BD240BDD

MERCHANT PROCESSING APPLICATION AND AGREEMENT (Page 1 of 8)

C O M P L E T E S E C T I O N S ( 1 - 10 )

ID-63afdca80c3261.91747819-96 1 of ________
Merchant #: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Loc. ______
NetPay2311 (1) TELL US ABOUT YOUR BUSINESS NetPay2311
Client’s Business Name: (Doing Business As) Client’s Corp/Legal Name: (Also for Headquarter’s Info & if different than DBA)
AMANDA
MICHAELONLINE LLC LLC
A MARCHESE AMANDA
MICHAELONLINE LLC LLC
A MARCHESE
Business Address: Billing Address: (If Different Than Location Address)
5201 VILLELNCECELIA
700 WHITE LN
BAKERSFIELD 5201 VILLELNCECELIA
700 WHITE LN
BAKERSFIELD
City: State: Zip: City: State: Zip:
HAZELWOOD
BAKERSFIELD MO
CA 63042
93307-4807 New Hyde Park
BAKERSFIELD NY
CA 11040
93307-4807
Location Phone #: Location Fax #: Contact Name:
3149048890 Amanda
MICHAEL A Martinez
MARCHESE

Business E-mail Address: Contact Phone #: Fax #:

kamartinez203@gmail.com (314)
(786) 904-8890
936-5145
Business Website Address: Contact E-mail Address:
5201 VILLELNCECELIA
700 WHITE LN
BAKERSFIELD kamartinez203@gmail.com
MICHAELAMARCHESLLC@outlook.com
Your Customer Service E-mail Address:
kamartinez203@gmail.com
MICHAELAMARCHESLLC@outlook.com
Send Retrieval Requests / Fax Type to: *SIC/MCC:
■ Business Address ■ Fax #
*If your business is classified as High Risk and assigned (or is later assigned based upon your business activity) any of the following Merchant Category Codes (MCC): 5966, 5967, and 78411,
then registration is required with Visa and/or Mastercard within 30 days from when your account becomes active. An Annual Registration Fee of $500 may apply for Visa and/or Mastercard (total
registration fees could be $1,000.00). Failure to register could result in fines in excess of $10,000.00 for violating Visa and/or Mastercard regulations2.
1Registration for MCC 7841 is only required for non-face-to-face adult content
2Information herein, including applicable MCCs, is subject to change

(2) MC / VISA / DISCOVER® NETWORK FULL SERVICE - PAYPAL / AMERICAN EXPRESS OPTBLUE®

360000 150
Your Total Annual Cash & Credit Sales: (For All Outlets) $______________ Estimated MC/Visa Average Ticket/Sales Amount: $______________

Estimated Discover - PayPal 150

Your Total Annual Cash & Credit Sales: (For This Outlet) $______________ Average Ticket for this Outlet: $______________

Estimated American Express OptBlue® 150

Total Annual MC/Visa Volume: (For All Outlets) $______________ Average Ticket for this Outlet: $______________

Annual MC/Visa Volume for this Outlet:

Total Annual Discover® Network - PayPal Vol.: (For All Outlets) $______________ (For Multiple Outlets Only) $______________

Estimated Discover - PayPal Annual Sales Vol.

Total Annual American Express OptBlue® Vol: (For All Outlets) $______________ for this Outlet: (For Multiple Outlets Only) $______________

Est. American Express OptBlue Annual Sales Vol.

®

Highest Ticket Amount: $______________ for this Outlet: (For Mult. Outlets Only) $______________

(3) ENTITLEMENTS

X✓
■ MC/Visa/Discover Full Processing - PayPal Signed Annual Check Sales Vol.: $______________ Average Check Ticket: $____________

(Discover Network systems and rules will process and govern JCB, CUP, Diners Club International, and BC Card Transactions. Select Discover Full Processing if JCB is requested.)

■ In-Person Warranty ■ In-Person Paper Warranty ■ Mail Order ■ Hold Check ■ C.O.D. ■ Other: ____________________________________

■ Voyager Fleet* Annual Voyager Volume: $______________ *Participation in Voyager Tax Exempt Program: ■ Yes ■ No (if yes, additional request form required)

■ WEX Full Acquiring Annual WEX Volume: $______________ ■ WEX (Non-Full Svc) ■ MC Fleet

■ Non-Lic. JCB (EDC) ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ (Existing Account #)

■ American Express OptBlue® ■ American Express Pass Through (existing) SE #___ ___ ___ ___ ___ ___ ___ ___ ___ ___ IATA/ARC ______________________ (MCC4722)

■ Debit Package ___ ___ ___ ___ ___ ___ ___ ___ ■ EBT SNAP/FNS # (XREF): ___ ___ ___ ___ ___ ___ ___
(4) PROVIDE MORE BUSINESS DATA

NY___
State Incorp. ___ 2022
Month/Year Started: _____________ ■ Sole Ownership ■ Partnership ■ Non Profit/Tax Exempt ■ Public Corp. ■ Private Corp. X
■ L.L.C. ■ Gov’t.
Check one: TIN Type: ■ EIN (Fed Tax ID #) ■ SSN

NOTE: Failure to provide accurate information may result in a withholding of merchant funding per IRS regulations. (See Part IV, Section A.4 of your Program Guide for further information.)
Name (as it appears on your income tax return) ■ Federal Tax ID#: (as it appears on your income tax return) ■ I certify that I am a foreign entity/nonresident alien.
(If checked, please attach IRS Form W-8.)
92-1225963

Jewellery
Mag Swipe ______ % + Keyed Manually ______ % = 100% Product/Services You Sell: _______________________________________________________________________

POS Card Present (MAG Swipe and/or Manual Imprint) ______ % + Mail Order/Direct Marketing ______ % + email%
Phone Order ______ + internet
Internet ______ % = 100%

Do you use any third party to store, process or transmit cardholder data? ■ Yes ■ No (Examples include, but not limited to web hosting companies, Electronic Data Capture, Loyalty programs)

If yes, give name/address: ____________________________________________________________________________________________________________________________

Please identify any Software used for storing, transmitting, or processing Card Transactions or Authorization Requests: ____________________________________________

Netpay Bankcard is a registered ISO of Wells Fargo Bank, N.A., Concord, CA Merchant Initials_________
DocuSign Envelope ID: E9E51531-6EFC-44B4-9EC9-8820BD240BDD
MERCHANT PROCESSING APPLICATION AND AGREEMENT (Page 2 of 8)

AMANDA ONLINE LLC ID-63afdca80c3261.91747819-96 1 of ________

DBA Name: ______________________________________________________ Merchant #: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Loc. ______

NetPay2311 (5) DESCRIBE EQUIPMENT DETAILS NetPay2311

Network: ■ (206) CARDnet ®

■ Nashville ■ Buypass ■ Other: ______________________________________________ Specify Security Code: ( )

Customer-Owned Retail • Restaurant • MOTO/Internet Clover Unit For Customer-Owned

Lease1-Purchase2 Equipment Type Lodging • Supermarket • Car Rental Price Equipment
(circle one) QTY IP (i.e., Terminal/VAR/Internet) Quick Service Restaurant • Petr Model Code and Name w/o Tax Track/Version/Serial #

C L1 P2 ■ R Re MOTO/I L S C QSR P $

C L 1
P 2
■ R Re MOTO/I L S C QSR P $
1
See Equipment Lease Agreement for the Terms and Conditions governing your leased equipment.
2
Clover Equipment Purchase Only: This is for information purposes only. Please refer to your equipment purchase agreement with TASQ Technology, Inc. for information and
pricing and fees for your equipment or hardware. You are not purchasing equipment from Processor and you acknowledge and agree that Processor will have no obligation or
liability relating to such purchase of equipment. Your purchase of equipment is subject to separate terms and conditions between you and the equipment seller.

NOTE: Any Special Instructions must be included on About Merchant’s Business Page.

Wireless Provider: ■ GPRS Cingular or ■ Other: _______________________________________________________________________________________________________

Check one: ■ Gateway Solutions ■ Payeezy Gateway

■ Dial Solutions ■ VSAT*** ■ Frame ■ Other: _____________________ ■ First Data® Payment Software Serial # ______________________

VAR/Internet/Software: Name: _______________________________________ (Nashville Only: Product ID # ______________________ Vendor ID # _____________________ )

***Requires separate agreement between VSAT Provider prior to implementation of this telecommunications protocol.
(6) PROVIDE YOUR OWNER INFORMATION
Provide the following information for each individual who owns, directly or indirectly, 25% or more of the equity interest of your business.
Owner/Partner/Officer Name: D.O.B: Social Security #: Home Phone:
---
Mobile Phone:
Amanda
MICHAEL A Martinez
MARCHESE 06/09/1995
10/31/1971 098-84-1414
465-89-7688 (314)
(786) 904-8890
936-5145 100
Home Address: City: State: Zip: Country: Owner’s E-Mail Address % of Ownership:
New Hyde Park kamartinez203@gmail.com
105
1002Lowell
N 7TH STAve
NEW HYDE PARK NY 11040 MICHAELAMARCHESLLC@outlook.com
Owner/Partner/Officer Name: D.O.B: Social Security #: Home Phone: Mobile Phone:

Home Address: City: State: Zip: Country: Owner’s E-Mail Address % of Ownership:

Owner/Partner/Officer Name: D.O.B: Social Security #: Home Phone: Mobile Phone:

Home Address: City: State: Zip: Country: Owner’s E-Mail Address % of Ownership:

Owner/Partner/Officer Name: D.O.B: Social Security #: Home Phone: Mobile Phone:

Home Address: City: State: Zip: Country: Owner’s E-Mail Address % of Ownership:

Netpay Bankcard is a registered ISO of Wells Fargo Bank, N.A., Concord, CA

Merchant Initials_________
DocuSign Envelope ID: E9E51531-6EFC-44B4-9EC9-8820BD240BDD
MERCHANT PROCESSING APPLICATION AND AGREEMENT (Page 3 of 8)

DBA Name: ______________________________________________________ Merchant #: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ 1 of ________
Loc. ______

NetPay2311 (7) FLAT RATE / IC PLUS / TIER PRICING SCHEDULE NetPay2311

Start-Up Fees (One-Time Charge) Billed Monthly Fees (If Applicable)

0
Non-Taxable Fees: Monthly Access Fee Monthly ClientLine® Fee (32R) $__________
(Datawire-Apriva) (60J)
0 3.95
Application Fee (Non-Refundable) (32I) $__________ FEE PER TID # OF TIDs TOTAL
Regulatory Product (35I) $__________
0
0 $_________ x _______ = $__________ Wireless Comm (472) $__________
Reprogramming Fee (31A) $__________
Monthly Service Fee 10
(335) $__________
Monthly Statement Fee 0
(323) $__________
Debit Set-up Fee 0
(31B) $__________ *Activated 30 days after the account is opened.
25
ACH Reject Fee (401) $__________ MC Merchant Monthly
Misc. Fee 0
(31J) $__________ 99
Minimum Processing Fee (954) $__________ Location Fee 1.25
(24I) $__________
0 0 Wireless Access Fee (399) 3.95
Other: ____________________ ( 0 ) $__________ PCI DSS Compliance Admin Fee (38A) $__________
FEE PER TID # OF TIDs TOTAL
0 0 0 0 0 0
Total Amount $_______________ w/o tax $_________ x _______ = $__________ Other:_____________________ $__________

Billed Annual Fees

0 0
Annual Membership Fee* (294) $__________ PCI Compliance Fee (April) 0
(33D) $__________ PCI Compliance Fee (September) (32P) $__________
*Billed on anniversary of account keyed date. 0
0
PCI Compliance Fee (May) (33E) $__________
PCI Compliance Fee (October) 0
(32Q) $__________
PCI Compliance Fee (January) (33A) $__________ PCI Compliance Fee (June) 0
(33F) $__________ 99
PCI Compliance Fee (February) 0
(33B) $__________ PCI Compliance Fee (July) 0
(33G) $__________
PCI Compliance Fee (November) (33I) $__________

PCI Compliance Fee (March) 0

(33C) $__________ PCI Compliance Fee (August) 0
(33H) $__________ 0
PCI Compliance Fee (December) (33J) $__________

WEX Full Acquiring Fees

WEX Auth Fee 0

(0D4) $__________
0 0
WEX Chargeback Discount (842) __________% WEX Chargeback Fee (29H) $__________
WEX Sales Discount 0
(840) __________%
0 WEX Chargeback Reversal
WEX Refund Discount (841) __________% Discount (843) 0
__________% WEX Retrieval Fee 0
(29I) $__________

Internet Buypass Fees

Start-Up Fees Internet Authorization & Access Fees Datawire Micronode ■ Yes ■ No
Internet Set-up Fee (30R) 0.25
MC Internet Auth Fee (03R) $_________ Datawire Micronode 960-AS
FEE PER TID # OF TIDs TOTAL
0.25 Monthly Fee (354) $_________
0 (each)
0 0 0 Visa Internet Auth Fee (04R) $_________
$__________ x ________ = $__________ Authorization Fees
Billed Monthly Fees American Express OptBlue ®
0.25
Internet Auth Fee (06I) $_________ Voyager (0D0, 0D1, 0DV, 0DC,
Internet Service Fee (394) 0DI, 0D3,0BW, 0BX) $_________
0
0.25
FEE PER TID # OF TIDs TOTAL Discover Internet Auth Fee (07I) $_________
0 0 WEX (0B0, 0B1, 0BV, 0DX, 0DY, 0DZ) $_________
0 0 0
$__________ x ________ = $__________ Internet Access Fee (30N) $_________
FleetCor Authorization (0B3) $_________
Other Payment Fees
Product Fees 0
Voyager Sales Discount Fee (766) _________%
Mobile Payments (incl. Clover) Visa GEP Service Fee (898)
0
__________% Voyager Sales Trans Fee
0
(00W) $_________
0
Monthly Fee (32Y) $__________ 0
Access One (LS1) $__________ Wright Express (P/L) Trans Fee (00U) $_________
Mobile Payments (incl. Clover) 0
Setup Fee (62S) $__________ TransArmor Minimum Monthly Fee (959) $__________ Authorization and AVS Fees
0 MC Auth Fee (030, 031, 032, 033,
Apriva Activation Fee (60I) $__________ TransArmor Token Registration (12H) $__________ 0.25
0 034, 03V, 03W, 03X) $__________
Payeezy Auth Fee (0FC) $__________ Alipay Authorization Fee (45D) 0
$__________ Visa Auth Fee (040, 041, 042, 043, 0.25
0 0 044, 04V, 04W, 04X) $__________
Payeezy Monthly Fee (40A) $__________ Alipay Sales Discount Fee (45G) __________%
0 0 Discover Auth Fee (070, 071, 072, 073, 0.25
Payeezy Setup Fee (40B) $__________ Alipay Return Discount Fee (45S) __________% 074, 07V, 07W, 07X) $__________
0
MC GEP Service Fee (897) __________% Alipay Return Transaction Fee 0
(45T) $__________ American Express
Auth Fee (060, 061, 062, 063,
0.25
064, 06V, 06W, 06X) $__________
Security & Compliance Fees
MC/Visa/Discover/
TransArmor Solutions Services TransArmor Token & Encryption 0
(12E) $__________ American Express
Full Bundle for NonClover Fee
0
(3CM) $__________
0 Voice AVS (039, 049, 069, 079, 1.75
TransArmor Token (12G) $__________ 03A, 04A, 06A, 07A) $__________
TransArmor Solutions Services
Full Bundle W/O TransArmor 0 MC/Visa/Discover/
TransArmor Token & Encrypt – VF (12I) $__________
Data Protection (3CM) $__________ American Express
0 Non-Receipt of PCI Validation (60L) 20
$__________ Voice Auth Fee (035, 036, 037,045,
TransArmor Monthly Fee (30L) $__________
046,047, 075, 065,
TransArmor Essentials Solutions Non-Receipt of PCI Validation 1.75
0 20 066, 067, 076, 077) $__________
NonClover Fee (Y01) $__________ (after 90 days) (42G) $__________
AVS Fee (405, 406, 407, 408, 435,
03B, 03C, 04B, 04C,
0.10
Clover Fees 06B, 06C, 07B, 07C) $__________
0 MC/Visa/Discover/
Main Street Insights (p/MID) (49I) $__________ American Express Voice
Auth Issuer Referral
1.75
(03Y, 04Y, 06Y, 07Y) $__________

Netpay Bankcard is a registered ISO of Wells Fargo Bank, N.A., Concord, CA

Merchant Initials_________
DocuSign Envelope ID: E9E51531-6EFC-44B4-9EC9-8820BD240BDD
MERCHANT PROCESSING APPLICATION AND AGREEMENT (Page 4 of 8)
AMANDA ONLINE LLC
DBA Name: ________________________________________________________________________________________________ Pricing Type: ___ ___ ___ 1 of ________
Loc. ______
NetPay2311 ( 7 ) F L A T R A T E / I C P L U S / T I E R P R I C I N G S C H E D U L E (cont’d) NetPay2311

Other Fees 0.01550.0195

0 0.25
Early Termination Fee $__________ Visa Zero Amt. + AVS Fee (10X) $__________ Chargeback / Exception / Fax / Mail 1.50
49 0.25 (Debit Activity) (Z0Z) $__________
Chargeback Processing (205) $__________ Visa Zero Amount Fee (10Y) $__________
49 0.07 Outgoing Correspondence Retrieval
Amex Chargeback Fee (20L) $__________ Visa Zero Ver Intl Fee (101) $__________
(Debit Activity) (Z0W)
1.50
$__________
Discover Chargeback Fee (725) $__________ Visa Zero Floor Limit Fee (04I) 0.2
$__________ Outgoing Correspondence Chgbk /
Retrieval Fee (262) 49
$__________ Visa Misuse of Auth Fee (04G) 0.09
$__________ Exception (Debit Activity) (Z0X) 1.50
$__________
Amex Chargeback Retrieval Fee (20M) 49
$__________ Visa Partial Auth NP Trans Fee (12D) 0.01
$__________ Outgoing Correspondence –
1.50
49 Chargeback (Credit Activity) (Z0S) $__________
Discover Retrieval Fee (26A) $__________ VI Ntwk Acq Proc Fee US Cr (04H) $__________
0.0395 Outgoing Correspondence Retrievals
**Visa/MC/Disc Chargeback 49 VI Ntwk Acq Proc Fee Intl Cr (04M) $__________ (Credit Activity) (Z0T)
1.50
$__________
& Retrieval Fee (289, 446) $__________
VI Ntwk Acq Proc Fee US DB/PP (04J) $__________ Merchant Response Retrieval
Incoming Chargebacks All (ZZ9) 49
$__________ 1.50
VI Ntwk Acq Proc Fee Intl D/P (04N) 0.0355
$__________ (Credit Activity) (Z0U) $__________
Retrieval All (285) 49
$__________ Visa US Debit Trans 0.1 Merchant Response Chargeback
Batch Settlement Fee (227) 0.25
$__________ Integrity Fee (per occurrence) (238) $__________ (Credit Activity) (Z0V) 1.50
$__________
0 0.00 Incoming / Outgoing Except Visa
EBT Qual Transaction Fee (029) $__________ *Visa Network Fee CP (NF1) $__________ 49
0 0.00 (Credit Activity) (Z0K) $__________
EBT Authorization Fee (18E) $__________ *Visa Network Fee CNP (NF2) $__________
0.0018 Incoming / Outgoing Except MC 49
EBT Balance INQ (18H) $__________ Visa New BASE II System File Fee (47N) $__________ (Credit Activity) (Z0L) $__________
EBT Decline Fee (02X) $__________ VI Base II CR Vcher Fee US D/P (47O) 0.0355
$__________ Incoming / Outgoing Except
15
49
EBT Food Stamp Returns Fee (02Y) $__________ VI Base II CR Vcher Fee Intl D/P (48O) 0.0355
$__________ Discover (Credit Activity) (Z0M) $__________
Network Access Fee – Debit (420) 0.25
$__________ VI Base II CR Vcher Fee US Cr (47P) 0.0395
$__________ Incoming / Outgoing Except Star 49
0.0395 (Credit Activity) (Z0N) $__________
American Express OptBlue® 0.25 VI Base II CR Vcher Fee Intl Cr (48P) $__________ 0
Credit Trans Fee (014) $__________ 0.10 Visa Accept/No Accept Fee (25R) $__________
Visa Data Consistency Fee (05E) $__________
American Express OptBlue® 0.25 MC Accept/No Accept Fee (25S) $__________
Sales Trans Fee (013) $__________ Visa Data Consistency Fee XBOR (05F) 0.15
$__________
1.00 0.10 Discover Accept/No Accept Fee 0
(25T) $__________
Program Cost Fee – AX (3AL) __________% Visa Decline Tran Resub Fee (05G) $__________
0.01 0.15 Amex Accept/No Accept Fee (25U) $__________
MC Acquirer CNP AVS Fee (10Z) $__________ Visa Decline Tran Resub Fee XBOR(05H) $__________
0.6 0.45 Visa Late Response 0
(25V) $__________
MC Cross Border Fee USD (605) __________% Visa Int'l Acquirer Fee (48S) __________%
1.0 Discover Auth Network Fee (0BC) 0.0190
$__________ MC Late Response 0
(25W) $__________
US Cross Border Fee, Non USD (606) __________%
0.01 0 Discover Late Response 0
(25X) $__________
MC Acquiring AVS Billing (0FB) $__________ Mid Sub Level Pgrm Card Sales (24O) $__________
0.0195 Base Sub Level Pgrm Card Sales (24P) 0.05
$__________ Amex Late Response (25Y) 0
$__________
MC NABU Fee (60M, 0B4) $__________
0 Comm Sub Level Pgrm Card Sales (24Q) 0.05
$__________ Incoming Retrieval SMS (48E) 49
$__________
***MC Commercial Card IC SVC Fee (63M) __________%
0.3 Discover Int’l Processing Fee (22G) 0.50
__________% 49
MC Access Fee (197) $__________ Incoming Chargeback SMS (48F) $__________
MC Processing Integrity Fee – Discover Int’l Service Fee (22H) 0.80
__________% 49
0.055 Incoming/Outgoing Except SMS (48D) $__________
Pre Auth. (03H) $__________ Discover Data Usage Fee (22E) 0.0025
$__________ Incoming Merchant Response SMS (48G) 0
$__________
MC Processing Integrity Fee – 0.25
Undefined Auth. (03I) $__________ PayPal Network Auth Fee (0DD) $__________ Lost Filing SMS (48H) 0
$__________
MC Processing Integrity Fee – TIN/TFN Blank or 25
Invalid Fee (as applicable) (181) $__________ Dispute Image Fee SMS (48I) 0
$__________
Final Auth % (03J) __________%
0.10 0 0
MC TPE Excessive Auth (03T) $__________ Statement Spendtrend Fee (22T) $__________ Visa Auto Acceptance (47X) $__________
MC TPE Nominal Amnt Auth (03U)
0.045
$__________
Visa Retrieval Review/Statused 1.50 Secure Code Transaction Fee (3DS2)(48Q) 0.01
__________%
Received Fax/Mail (25B) $__________ 0.10
MC Processing Integrity Fee – MC Retrieval Review/Statused Mastercard Secure Code Cap (48T) $__________
Final Auth Minimum – per item (03K) $__________ Received Fax/Mail 1.50
(25C) $__________ 1.35
Dispute Case Fee Mastercard DMS (48L) $__________
MC Processing Integrity Image Fee (03L) $__________ Disc Retrieval Review/Statused 0.20
Received Fax/Mail 1.50
(25D) $__________ Dispute Image Fee Mastercard DMS (48M) $__________
MC US Acct Status Inq Svc 0.03
Interregional Fee (11G) $__________ Dispute Image Fee Visa DMS 1.00
(48N) $__________
Amex Retrieval Review/Statused
MC US Acct Status Inq Svc Received Fax/Mail 1.50
(25E) $__________ Incoming Merchant Response
0.025 0
Intraregional Fee (11H) $__________ Visa Chargeback and Exception 1.50 (Credit Activity) (Z0J) $__________
0.0035 Review/Statused Received Fax/Mail (25F) $__________ NW Merchant Rsp Day 1-20 Visa 1.05
(Z2V) $__________
MC Kilobyte Trans Fee (448) $__________
0.3 MC Chargeback and Exception 1.35
NW Merchant Rsp Day 21-25 Visa (Z2W) $__________
MC License Per Item Fee (01C) $__________ 1.50
Review/Statused Received Fax/Mail (25G) $__________ 1.65
0.0062 NW Merchant Rsp Day 26-30 Visa (Z2X) $__________
MC License Volume Fee (818) __________% Disc Chargeback and Exception 1.50 Lost Filing Fee DMS – Visa 500
(Z0O) $__________
MC CVC2 Fee (11M) 0.0025
$__________ Review/Statused Received Fax/Mail (25H) $__________
Lost Filing Fee DMS – Mastercard 600
(Z0P) $__________
Mastercard Interchange Amex Chargeback and Exception 1.50
0.15 Review/Statused Received Fax/Mail (25I) $__________ Lost Filing Fee DMS – Discover 0
(Z0Q) $__________
Downgrade Fee (24X) $__________
Visa Merchant Retrieval Outgoing Lost Filing Fee DMS – Star 0
(Z0R) $__________
MC Digital Enablement Fee (24E) 0.01
__________% Correspondence Sent Fax/Mail 1.50
(25J) $__________ 0.50
NW Late Acpt Day 21-25 Visa-DMS (Z2Y) $__________
MC Global Wholesale 1.57 MC Merchant Retrieval Outgoing 0.75
Travel B2B Fee (22W) __________% 1.50 NW Late Acpt Day 26-30 Visa-DMS (Z2Z) $__________
Correspondence Sent Fax/Mail (25K) $__________ 0
MC Global Acquirer Support Fee (48R) 0.85
__________% Disc Merchant Retrieval Outgoing
NW No Acceptance Visa-DMS (Z20) $__________
1.50 NW Prcmp Img VI 0.45
(48V) $__________
MC Secure Code Trans Fee (03E) 0.05
$__________ Correspondence Sent Fax/Mail (25L) $__________
Amex Merchant Retrieval Outgoing MC Dispute Excessive Page 1.00
(48U) $__________
MC Freight Program Fee (24W) 0.50
__________% 1.50 49
Correspondence Sent Fax/Mail (25M) $__________ VI Inprdsp DMS (48W) $__________
0
NYCE File Fee (18O) $__________ Visa Merchant Chargeback and Intlk Presp SMS 49
(48X) $__________
Visa Access Fee (241) 0.3
$__________ Exception Outgoing Correspondence 1.50 NW MC Pre Arbitration Accept Fee
Sent Fax/Mail (25N) $__________ DMS 5.00
(47Z) $__________
Visa Staged Digital Wallet Fee (24H) 0.10
$__________ MC Merchant Chargeback and
0 Ticket Retrieval Fee 1.00
(48Y) $__________
***Visa Commercial Card IC SVC Fee (63V) __________% Exception Outgoing Correspondence 1.50
Sent Fax/Mail (25O) $__________ 49
Other: __________________________ 49
___________
Visa Int’l Service Fee BASE (22A) 1.00
__________%
Disc Merchant Chargeback and 49
Visa Int’l Service Fee ENH (22Z) 1.4
__________% Exception Outgoing Correspondence Other: __________________________ 49
___________
1.50
Visa Int’l Acquirer Fee High Risk (22F) 0.45
__________% Sent Fax/Mail (25P) $__________ Other: __________________________ ___________
0.60 Amex Merchant Chargeback and
VI-ACQ B2B Virtual Svc Fee Dom (24T) __________% Exception Outgoing Correspondence Other: __________________________ ___________
1.55 Sent Fax/Mail (25Q) 49
$__________
VI-ACQ B2B Virtual Svc Fee Intl (24U) __________% Other: __________________________ ___________
VI-ACQ B2B Virtual Svc Fee Intra (24V) 0
__________% Retrieval Fax / Mail (Debit Activity) 49
(Z0Y) $__________ Other: __________________________ ___________
* See Interchange Qualification Matrix (“IQM”) for Billing Tables.
* * Consolidated Fee – do not use in addition to 205, 262, 725, or 26A
*** Commercial Card Interchange Service With the Commercial Card Interchange Service, when transactions do not include any tax information we will compute the sales tax based on the applicable
 Yes  No rate at your location to allow you to obtain the best interchange. When we compute the sales tax on your behalf, we will retain 75% of the interchange savings.
If a transaction is fully or partially exempt, you should enter the tax amount (even if that amount is $0.00) as CCIS applies your local tax rate to the full amount
of transactions when the prompt is bypassed.

Netpay Bankcard is a registered ISO of Wells Fargo Bank, N.A., Concord, CA Merchant Initials_________
DocuSign Envelope ID: E9E51531-6EFC-44B4-9EC9-8820BD240BDD
MERCHANT PROCESSING APPLICATION AND AGREEMENT (Page 5 of 8)

DBA Name: ______________________________________________________

AMANDA ONLINE LLC Merchant #: ___ ID-63afdca80c3261.91747819-96
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ 1 of ________
Loc. ______
NetPay2311 ( 7 ) F L A T R A T E / I C P L U S / T I E R P R I C I N G S C H E D U L E (cont’d) NetPay2311
Tiered Pricing: (Select One)
Discount Fee Transaction Fee Discount Fee Transaction Fee
MC Qualified Credit (800) 0
__________% (001, 002) 0
$___________ Discover Qualified Credit (170) 0
__________% (015, 016) 0
$___________

MC Mid-Qualified Credit (810) 0

__________% (611, 612) 0
$___________ Discover Mid-Qualified Credit (990) 0
__________% (717, 718) 0
$___________

MC Non-Qualified Credit (820) 0

__________% (621, 622) 0
$___________ Discover Non-Qualified Credit (994) 0
__________% (721, 722) 0
$___________

MC Qualified Non-PIN Debit (850) 0

__________% (130, 131) 0
$___________ Discover Qualified Non-PIN Debit (964) 0
__________% (787, 788) 0
$___________
MC Mid-Qualified 0 0
Non-PIN Debit (870) 0
__________% (140, 141) $___________ Discover Mid-Qualified Non-PIN Debit (968) __________% (791, 792) 0
$___________
MC Non-Qualified 0 0 0
Non-PIN Debit (880) __________% (150, 151) 0
$___________ Discover Non-Qualified Non-PIN Debit (978) __________% (795, 796) $___________
0 0 0 0
Visa Qualified Credit (804) __________% (005, 006) $___________ PayPal Qualified Credit (175) __________% (13A) $___________
0 0 American Express OptBlue® 0 0
Visa Mid-Qualified Credit (814) __________% (615, 616) $___________ Qual Credit (164) __________% (013, 014) $___________
0 American Express OptBlue ®
0 0
Visa Non-Qualified Credit (824) __________% (625, 626) 0
$___________ Mid-Qual Credit (81C) __________% (62T, 62U) $___________
Visa Qualified American Express OptBlue® 0
Non-PIN Debit (854) 0
__________% (134, 135) 0
$___________ Non-Qual Credit (82A) 0
__________% (65S, 65T) $___________
Visa Mid-Qualified
Non-PIN Debit (874) 0
__________% (144, 145) 0
$___________ 0 0
Visa Non-Qualified (154, 155) 0
Non-PIN Debit (864) 0
__________% $___________ 0
Flat Rate
Discount Fee Transaction Fee Discount Fee Transaction Fee

0 0 0 0
MC Qualified Credit (800) __________% (001, 002) $___________ Discover Network Qual Credit (170) __________% (015, 016) $___________
0 0 0
MC Qualified Non-PIN Debit (850) __________% (130, 131) 0
$___________ Discover Network Qual Non-PIN Debit (964) __________% (787, 788) $___________
0 0 0
Visa Qual Credit (804) __________% (005, 006) $___________ PayPal Qualified Credit (175) 0
__________% (13A) $___________
0 0 0
Visa Qual Non-PIN Debit (854) __________% (134, 135) $___________ PINless (27P) __________%
0
PINless Debit Transaction Fee (18C) $___________
American Express Qual 0
OptBlue® Credit (164) __________%
0 (013, 014) $___________ PINless Debit Denial Fee (42U)
0
$___________
0 0
Swiped (23Z) __________% (24C) $___________ Non Swiped (24D) __________% (24B) 0
$___________
0
■ Dues & Assessments Non-Qualified Surcharge Fee (excluding interchange pass-through fees, see Section 25.1)
X
(273, 274, 234, 237, 286, 27L, 45H)
■XBillback
Applies to Non-qualified MC, Visa, Discover, American Express OptBlue® Credit and/or Non-PIN Debit Transactions. (30D) _________ %
0
■ Pass Through Interchange — Includes Dues and Assessments. You will be charged the applicable interchange rate from Mastercard, Visa or Discover, plus a Mastercard
Assessment Fee (273) of .13%, a Visa Assessment Fee (274) of .13%, Visa Assessment Fee CR (27L) of .14%, Discover Assessment Fee (234) of .14%, or a PayPal Assement Fee (45H)
of .10%, plus any other fees indicated on this Service Fee Schedule. (MC Assessment Fee (237) when transaction is equal to $1,000 or more will be assessed an additional 0.01% per
transaction.) American Express OptBlue® Network Fee (286) of .16%. American Express Assessment Fee has Program Pricing and not Interchange and are subject to change.
Discount (Based on Discount (Based on Discount (Based on Discount (Based on
Gross Sales Vol.) Gross Sales Vol.) Gross Sales Vol.) Gross Sales Vol.)
MC Visa Discover Network American Express OptBlue ®
3.5
Qual Credit (800) 2.95 % Qual Credit (804) 2.95 % Qual Credit (170) 2.95 % Qual Credit (164) %
MC Qual Non-PIN Visa Qual Non-PIN Discover Network
Debit (850) 2.95 % Debit (854) 2.95 % Qual Non-PIN Debit (964) 2.95 % 2.95

Sales Credit & Non-PIN Debit Transaction Fee 0.25 ■ Gross Interchange MC (564), Visa (549), or Discover (527)
(001, 002, 005, 006, 015, 016, 130, 131, 134, 135, 787, 788) $___________
■ Net Interchange MC (560), Visa (550) or Discover (529)
American Express OptBlue® Sales & Credit Trans Fee 0.25
(013, 014) $___________ ■ American Express OptBlue® Program Pricing (57B)

PIN Debit
Discount Interchange Authorization Fee Per Item Fee
Debit Sales Debit Interchange Fee (590) ■ Debit Card ATM Card
Discount 0
(190) __________% Debit Decline Authorization Fee 0
(191) $__________ Transaction Fee 0
(018) $__________
Interchange Fee (593) ■
0
Debit Pre Auth (587) ■ Pin Debit Declined (42R) $__________
Adjustment Fee (597) ■

Bundled Debit Package

Card Type Transaction Fee Discount Transaction Fee Refund Discount Refund
PIN/Non-PIN
0 0 0 0
■ Regulated (28K) $____________ (27I) ____________% (28L) $____________ (27J) ____________%
0 0 0
■ Unregulated (124) $____________ (120) ____________% (125) $____________ (121) ____________%
0
0 0 0
■ Combined (124) $____________ (120) ____________% (125) $____________ (121) ____________%
0
Non-PIN
0 0
■ Regulated (28C) $____________ (27D) ____________% (28D) 0
$____________ (27E) ____________%
0
0 0
■ Unregulated (28G) $____________ (27G) ____________% (28H) 0
$____________ (27H) 0
____________%
0 0
■ Combined (28G) $____________ (27G) ____________% (28H) $____________
0 (27H) ____________%
0

Netpay Bankcard is a registered ISO of Wells Fargo Bank, N.A., Concord, CA

Merchant Initials_________
DocuSign Envelope ID: E9E51531-6EFC-44B4-9EC9-8820BD240BDD
MERCHANT PROCESSING APPLICATION AND AGREEMENT (Page 6 of 8)

DBA Name: ______________________________________________________ Merchant #: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ 1 of ________
Loc. ______
NetPay2311 ( 7 ) F L A T R A T E / I C P L U S / T I E R P R I C I N G S C H E D U L E (cont’d) NetPay2311

Discount Fees (Based On Gross Sales Volume)

Accept all Mastercard, Visa, Discover - PayPal, and American Express OptBlue® Transactions (presumed, unless any selections below are checked)
Discount Rate and Trans Fee Billing Frequency: ■ Daily (Default) ■ Monthly
Mastercard Acceptance Visa Acceptance Discover Acceptance American Express OptBlue®
■ Accept MC Credit transactions only ■ Accept Visa Credit transactions only ■ Accept Discover Credit transactions only Acceptance
■ Accept MC Non-PIN Debit transactions only ■ Accept Visa Non-PIN Debit transactions only ■ Accept Discover Non-PIN Debit transactions only ■ Accept American Express
Discover Network - PayPal Credit transactions only
■ Discover Network - PayPal Credit transactions
You are responsible for distinguishing Credit from Non-PIN Debit Cards. Even if you have agreed to limit your acceptance of certain cards as outlined above, you must continue to accept all foreign issued
cards, whether Credit or Non-PIN Debit. If you agree to limit your acceptance to a particular type of card and, whether intentionally or in error, accept another type of transaction, the resulting transaction will
downgrade to the highest cost interchange plus the applicable Non-Qualified Surcharge (See Section 18.1 of the Program Guide).

TeleCheck
TeleCheck Rates & Fees: ■ Yes X■ No
0 Monthly Minimum Fee (Per Location) $_________ ECA Chargeback Fee 5.00
$_________
Inquiry Rate _________% (Only charged when entitled with TeleCheck)
.10 Statement Processing Fee 5.00
$_________
December Risk Surcharge _________% Unauthorized Return Fee 5.00
$_________
Customer Requested Operator Call
Per TXN Fee $_________ (CROC) 2.50
$_________
(See Agreement for definitions, warranty requirements, and any additional fees.)
See Part IV, Section A.3 of the Program Guide for early termination fees.

Early Termination Fee $ ______________ The initial term of this Agreement is three years from the date of your approval by our Credit Department
(the Initial Term). If you terminate this Agreement before the end of the then current term or otherwise stop processing your transactions with us,
you will be charged this Early Termination Fee. After the Initial Term, subject to Part IV, Section A.3, this Agreement shall automatically extend
for an additional period of one year each (each an Extended Term). Merchant Initials ___________

(8) AGREEMENT APPROVAL

The statements made in this Merchant Processing Application and Agreement are true. Client acknowledges having received and read a copy of the Program Guide (which
includes terms and conditions for each of the services, the Your Payments Acceptance Guide, Third Party Agreements and a Confirmation Page), and Merchant Processing
Application (consisting of Sections 1-10) as modified from time to time in accordance with the provisions of this Agreement, and agrees to be bound by all provisions as
printed therein. Client acknowledges and agrees that we, our Affiliates and our third party subcontractors and/or agents may use automatic telephone dialing systems to
contact Client at the telephone number(s) Client has provided in this Merchant Processing Application and Agreement and/or may leave a detailed voice 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 previously registered on a Do Not Call list or requested not
to be contacted by Client for solicitation purposes. Client hereby consents to receiving commercial electronic mail messages from us, our Affiliates and our third party sub-
contractors and/or agents from time to time. Client further agrees that Client will not accept more than 20% of its card transactions via mail, telephone or Internet order.
However, if your Application is approved based upon contrary information stated in the Provide More Business Data Section above, you are authorized to accept transactions
in accordance with the percentages indicated in that Section. This signature page also serves as the signature page to the TeleCheck Solutions Agreement, appearing in the
Third Party Section of the Program Guide, if selected, the undersigned Client being “You” and “Your” for the purposes of the TeleCheck Solutions Agreement.
By signing below, each of the undersigned authorizes us, our Affiliates and our third party subcontractors and/or agents to verify the information contained in this Application
and to request and obtain from any consumer reporting agency and other sources, including bank references, personal and business consumer reports and other information
and to disclose such information amongst each other for any purpose permitted by law. If the Application is approved, each of the undersigned also authorizes us, our
Affiliates and our third party subcontractors and/or agents to obtain subsequent consumer reports and other information from other sources, including bank references, in
connection with the review, maintenance, updating, renewal or extension of the Agreement or for any other purpose permitted by law and disclose such information amongst
each other. Each of the undersigned furthermore agrees that all references, including banks and consumer reporting agencies, may release any and all personal and business
credit financial information to us, our Affiliates and our third party subcontractors and/or agents. Each of the undersigned authorizes us, our Affiliates and our third party
subcontractors and/or agents to provide amongst each other the information contained in this Merchant Processing Application and Agreement and any information received
subsequent thereto from all references, including banks and consumer reporting agencies for any purpose permitted by law. It is our policy to obtain certain information in
order to verify your identity while processing your account application.
As part of our approval, processing services, continuing fraud prevention and account review processes, the undersigned consents to the use of information gathered online
or that you submit to us, and/or automated electronic computer security screening, by us or our third party vendors.
I further acknowledge and agree that I will not use my merchant account and/or the Services for illegal transactions, for example, those prohibited by the Unlawful Internet
Gambling Enforcement Act, 31 U.S.C. Section 5361 et seq, as may be amended from time to time, or processing and acceptance of transactions in certain jurisdictions
pursuant to 31 CFR Part 500 et seq. and other laws enforced by the Office of Foreign Assets Control (OFAC).
Client certifies, under penalties of perjury, that the federal taxpayer identification number and corresponding filing name provided herein are correct.
THIS MERCHANT PROCESSING APPLICATION AND AGREEMENT HAS BEEN EXECUTED ON BEHALF OF AND BY THE AUTHORIZED MANAGEMENT OF CLIENT AS OF THE
EFFECTIVE DATE.
Client’s Business Principal: (Please sign below)

X Signature____________________________________________________________
Amanda Martinez
12/30/2022
12/01/2024 Servicers: For First Data Merchant Services LLC
MICHAEL A MARCHESE
Print Name: ______________________________________________________ Date: ______________ and Wells Fargo Bank, N.A., (a member of Visa USA, Inc.
and Mastercard International, Inc.)
Title: ■ Pres. ■ V.P. ■ Member L.L.C. ■ Owner ■ Partner ■ Other: _____________________

X Signature____________________________________________________________
X Signature _______________________________________________
Print Name: ______________________________________________________ Date: ______________

Title: ■ Pres. ■ V.P. ■ Member L.L.C. ■ Owner ■ Partner ■ Other: _____________________

(9) TELECHECK ACH AUTHORIZATION

ACH Debit and Credit Authorization: Client authorizes its Financial Institution to pay and charge to its account by electronic fund transfer the amount due TeleCheck
and/or TRS under this Agreement and to accept all credits and debits made to its account by electronic fund transfer as a result of TeleCheck’s and/or TRS’ services. This
authorization shall remain in effect until thirty days after revoked in writing.

X Signature ____________________________________________________________ Print Name/Title: __________________________________________ Date: _____________

Authorized Signature on TeleCheck Account for ACH
(10) PERSONAL GUARANTY
In exchange for First Data Merchant Services LLC, Wells Fargo Bank, N.A., (a member of Visa USA, Inc. and Mastercard International, Inc.), and TeleCheck Services, Inc. (the
Guaranteed Parties) acceptance of, as applicable, the Agreement, and/or the TeleCheck/TRS Solutions Agreement, the undersigned unconditionally and irrevocably
guarantees the full payment and performance of Client’s obligations under the foregoing agreements, as applicable, as they now exist or as modified from time to time,
whether before or after termination or expiration of such agreements and whether or not the undersigned has received notice of any amendment of such agreements. The
undersigned waives notice of default by Client and agrees to indemnify the Guaranteed Parties for any and all amounts due from Client under the foregoing agreements. The
Guaranteed Parties shall not be required to first proceed against Client to enforce any remedy before proceeding against the undersigned. This is a continuing personal
guaranty and shall not be discharged or affected for any reason. The undersigned understands that this is a Personal Guaranty of payment and not of collection and that the
Guaranteed Parties are relying upon this Personal Guaranty in entering into the foregoing agreements, as applicable.
Signature (Please sign below): Signature (Please sign below):

X ___________________________________________________________ , an individual X ___________________________________________________________ , an individual

Netpay Bankcard is a registered ISO of Wells Fargo Bank, N.A., Concord, CA
DocuSign Envelope ID: E9E51531-6EFC-44B4-9EC9-8820BD240BDD
MERCHANT PROCESSING APPLICATION AND AGREEMENT (Page 7 of 8)

ID-63afdca80c3261.91747819-96
Bank Code: ___ ___ ___ Merchant ID: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Buypass Merchant #: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

DBA
NAME ■■■■■■■■■■■■■■■■■■■■■■■■
AMANDA
MICHAELONLINE LLC LLC
A MARCHESE (24 characters)

NetPay2311 BANKING INFORMATION (REQUIRED) NetPay2311

First / Last Contact Name at Bank: Phone Number:

ABA #: _________________________________ DDA #: _________________________________

CHECKLIST INFORMATION

Sales Support ID: ___ ___ ___ ___ Sales Rep. ID #: ___ ___ ___ ___ Print Sales Rep. Name: _____________________________________________________________

HIERARCHY: Bank: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Agent: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ RELM Code: ___ ___ ___ ___

Corp.: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Chain: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Buypass FIID: ___ ___ ___ ___

CLIENT VISITATION

■ Visit Not Required (Lic. Professional) 8. Time Zone (required): _______________________ 15. Previous Processor:

1. Zone: ■ Business District ■ Industrial ■ Residential 9. Approx. Square Footage: ___________________________________________

■ 0-250 ■ 251-500 ■ 501-2,000 ■ 2,001+
2. Location: ■ Mall ■ Shopping Area ■ Isolated 16. Your Previous Merchant #:
10. # of Employees: _______________
■ Office ■ Apartment ■ Home ____________________________________________
11. # of Registers: _______________
■ Other: ______________________________ 17. Check Reason for Changing:
12. Return Policy:
3. Seasonal: ■ No ■ Yes, Mos. in Operation: __________ ■ Rate ■ Service ■ Terminated
■ Full Refund ■ Exchange Only ■ None
Mos. Open Between _____________ to______________ 13. Do you have a refund policy for your MC/Visa/ ■ Other: ___________________________________
Discover® Network - PayPal/American Express
4. External Facility Description (# of Levels/Floors): 18. Do You Have Previous Processor MC/Visa/
OptBlue® sales?
Discover/American Express OptBlue®
■1 ■ 2-4 ■ 5-10 ■ 11 plus ■ Yes ■ No If yes, Check one:
Statements?
5. Merchant Occupies: ■ Ground Floor ■ Exchange ■ Store Credit ■ Refund Cardholder
■ Yes ■ No
■ Other: _______________________________________ If MC/Visa/Discover - PayPal/American Express
19. Are customers required to leave a deposit?
OptBlue® Credit, within how many days do you
6. Remaining Floor(s) Occupied by: submit credit transactions? ■ Yes ■ No
■ Residential ■ Commercial ■ Combination ■ 0-3 ■ 4-7 ■ 8-14 ■ Over 14 days If Yes, % of deposit required: ___________%

7. Advertising Name Displayed: 14. Proper License Visible (Liquor, Tax ID, etc.): Time Frame for Delivery: _______ Days
■ Window ■ Door ■ Store Front ■ Yes ■ No, explain: ________________________

Comments to Credit Officer (40 Characters):

MAIL STATEMENTS / DOCUMENTS

Statement Recap Information: (check one) ■ 01 = Outlet ■ 02 = Stmt to Bill To/No Recap ■ 07 = Suppress Stmt (No Stmt) ■ 08 = Produce Recap, No Stmt
■ 09 = Bill to Address/Stmt and Recap ■ 10 = Recap to Bill To/Stmt to Outlet

Statement Type: (check one) ■ Detail ■ Summary Statement Delivery Method: (check one) ■ E-Mail ■ Online ■ Print and Mail

Statement E-Mail Address:_____________________________________________________________________________________________________________________________

ON YOUR BUSINESS ACCOUNT CHECKING STATEMENT ROLLUP: (check one)

■ 0 = Each Transfer ■ 1 = Debit/Credit Grouped (By Category) ■ 2 = Net Transfer Amount Only ■ 3 = Net Transfer EOM Fee Combined

PROCESSING INFORMATION

1. Processing mode: ✓
■ EDC: ■ ECR 2. Funding will be processed DAILY via: ✓
■ ACH

3. Bank will fund: ■ Outlet ■ Head Office 4. # of Plates: ________ Long ________ Short 5. Fire Safety Act: ■ Yes ■ No
(will be shipped by ISO)
6. Ship Equipment and Welcome Packet to (will be shipped by ISO) (check one):
■ Outlet ■ Head Office ■ Other, give mailing information below ■ No Welcome Packet and Supplies ■ No Welcome Packet

Name: First/Last Contact Name:

Address: City: State: Zip:

Netpay Bankcard is a registered ISO of Wells Fargo Bank, N.A., Concord, CA

DocuSign Envelope ID: E9E51531-6EFC-44B4-9EC9-8820BD240BDD
MERCHANT PROCESSING APPLICATION AND AGREEMENT (Page 8 of 8)

DBA Name: _________________________________________________________________________ Merchant ID: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

NetPay2311 P R O C E S S I N G I N F O R M A T I O N (cont’d) NetPay2311

7. Additional Terminal Features: (Check all that apply to ensure timely terminal programming)

■ Auto Settle Time ___________ hh ET ■ QSR-CR/SMT (Convenience/Small Ticket) ■ Verify Amount Prompt Terminal Features: (Cont’d)
(military)
■ QSR Print Option ________________ Key Password
■ Partial Approval
■ Bar Tab Disable or Protect
■ Invoice Number
■ Clerk/Server Entry ■ Purchase w/Balance Return Credits ■ ■
■ Multi-Trans (PC/Register/Software only)
■ Debit Cash Back ■ Standalone Balance Inquiry Voids ■ ■
Delayed Ship Date: _______________ ■ No Server/Ticket ID
■ Other: ___________________________ Forces ■ ■
■ Dial Prefix: ■ Dial 9 ■ Other: ________ ■ Remove Room # Prompt
Reviews ■ ■
■ Dial Suffix: _________ ■ Remove Ticket # Prompt
PINPad: Bal/Settle ■ ■
■ E-Commerce ■ Retail Gas
■ If IP _______________________________ ■ DES Encryption Auth Only ■ ■
(List Current Provider) ■ Retail With Tip

■ Ship Method (Overnight) ■ DUKPT Reports ■ ■

E-Mail Address:

____________________________________ ■ Tip % Option ■ Access Code # ____________________ Tip Adjustment ■ ■

Comments:_________________________________________________________________________________________________________________________________________
(NOTE: Completing the Comments field will result in a 48 hour terminal programming delay)

Mail / Telephone Order / Business to Business / Internet Information

(All Questions must be Answered)

1. What % of total sales represent business to business

(vs business to consumer): Business to Business ______% + Business to Consumer ______% = 100% (total sales)

2. What % of bankcard sales represent business to business

(vs business to consumer): Business to Business ______% + Business to Consumer ______% = 100% (bankcard sales)

3. What is the time frame from transaction to delivery? 25 30

7
(% of orders delivered in): 10
0-7 days ______% + 8-14 days ______% + 15-30 days ______% + over 30 days ______% = 100%

4. MC/Visa/Discover - PayPal/American Express OptBlue® sales are deposited (check one): ■ Date of order ■ Date of delivery ■ Other (specify): _________________________

5. Who performs product / service fulfillment? ■ Direct ■ Vendor ■ Other If vendor, add:

Name _________________________________________________________________ Phone _______________________________

Address _______________________________________________________________ City _________________________________ State _________ Zip _______________

Please describe how the transaction works, from order taking to merchant fulfillment (attach additional sheet if necessary):

6. Does any of your cardholder billing involve automatic renewals or recurring transactions (i.e., cardholder authorizes initial sale only)? ■ Yes ■ No

Netpay Bankcard is a registered ISO of Wells Fargo Bank, N.A., Concord, CA

DocuSign Envelope ID: E9E51531-6EFC-44B4-9EC9-8820BD240BDD
NetPay2311

AMANDA
MICHAELONLINE LLC LLC
A MARCHESE

NetPay2311

Owner 12/30/2022
12/01/2024

Amanda Martinez
MICHAEL A MARCHESE

NetPay2311