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' <br />+~'% ~,: <br />Plan Type <br /> <br />New Existin Discount Rate Per Item Plan Type Discount Rate <br /> <br />~ <br />_.~ ~... <br />Per Item <br />~ <br /> g New Existing , <br />x Visa Credit x r 1.79% $0.15 r pIN Debit f r ~ <br /> <br />x isa Check <br />x <br />r, <br />1.59% _ <br />$0.15 <br />--_.__W___.~...._...._ <br />x American Express r- x <br />2.89% <br />i . _. _. _ ., <br />$0.10 <br /> <br /> <br />x asterCard Credit <br /> <br />x <br /> <br />f" <br /> <br />1.79% <br /> <br />$0.15 __._ ~....._..__.._.__... <br /> <br />r- JCB r- r .._.._ _.__ <br />,. <br />x Debit MasterCard x r 1.59% $0.15 r EBT r- r- <br />x Discover Credit x r, 1.79% $0.15 <br />x Discover Check x r 1.59% $0.15 <br />The forgoing discount rate and per item fees are based upon Merchant's complying with all processing requirements as established by the applicable <br />governing authority of the payment type which qualifies Merchant for the most favorable interchange rates available for such payment type (a "fully <br />qualified transaction"). Transactions that do not meet the requirements of a fully qualified transaction are subject to non-qualified surcharges in <br />addition to the rates quoted. In addition to the per item fee, all Debit transactions include fees assessed by the applicable network organization. In <br />addition to the rate quoted above, atl Discover Rewards Card transactions are subject to a surcharge equal to the greater of the applicable non- <br />qualified surcharge rate as described in Section 30 of the Terms and Conditions and 0.25%. See the Card Services Terms and Conditions for non- <br />qualified surcharges. <br />$0.20 <br />$0.60 <br />$1.25 <br />$0.10 <br />$0.00 <br />$0.00 <br />$0.00 <br />$9.95 <br />Batch/ACHFee (per occurrence) <br />Voice Authorization Fee (per occurrence) <br />Voice AVS Fee (per occurrence) <br />Dial Back-Up Fee (per item) <br />Split Funding Fee <br />Account Maintenance Fee (per month) <br />Technology Fee (per month) <br />Monthly Statement Fee <br />Other: <br />Initial Term: x 1 Year <br />See Section 13 of the Card Services Terms & Conditions <br />$2.50 <br />$15.00 <br />$15.50 <br />$0.00 <br />$25.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />Retrieval Fee (per occurrence) <br />Non-Sufficient Funds (per occurrence) <br />Chargeback Fees (per occurrence) <br />Service Fee (per month) <br />Minimum Monthly Discount <br />Annual Membership Fee <br />Transaction Research Fee (per hour) <br />Equipment Fee (per month) <br />Other: <br />Your Credit Services Agreement is between Global Payments Direct, Inc. ("Global Direct"), the Merchant named above and the Member names below <br />("Member"). Member is a member of Visa, USA, Inc. ("Visa") and MasterCard International, Inc. ("MasterCard'; Global Direct is a registered independent <br />sales organization of Visa and a member service provider of MasterCard and a registered acquirer for Discover Financial Services, LLC. <br />A copy of the Card Services Terms & Conditions revision number 04/08 MPS has been provided to you. Please sign below to signify that you have received a <br />copy of the Card Services Terms & Conditions and that you agree to all terms and conditions contained therein. If this Merchant Application is accepted for <br />card services, Merchant agrees to comply with the Merchant Application and Card Services Terms & Conditions as may be modified or amended in the <br />future. If you disagree with any Card Services Terms & Conditions, do not accept service. ff merchant submits a transaction to Gbbal Direct hereunder <br />merchantwill be deemed to have accented the card services terms & conditions, By your signature below on behalf of Merchant, you certify that all <br />information provided in this Merchant Application is true and accurate and you authorize Global Direct, and Global Direct on Member's behalf, to initiate debit <br />entries to Merchant's checking account(s) in accordance with the Card Services Terms & Conditions. In addition, by your signature below on behalf of <br />Merchant, you authorize Global Direct and/or Mercury Payment Systems, Inc. to order a consumer credit report on Merchant and you. <br />Merchant's Signottaes (owner/officer) <br />Principle #1 Name (printed): Title: Date: <br />~ Carrie Copfer <br />Principle #2 <br />d <br />Name (printed): <br />Title: <br />Date: <br />The acceptance and processing of Merchant transactions by Member and/or Global Direct shall evidence the receipt, approval and agreement of <br />same to the Card Services Agreement signed by Merchant. <br />8788430056479 Cartwright <br />10 Burnett Court, Suite 300 Durango, Colorado, 81301(800) 846-4472 vvww.MercuryPay.com <br />Mercury Payment Systems, Inc. is a registered ISO and MSP of HSBC Bank, USA, National Association, Buffalo, NY <br />Rev.04/08 MPS <br />