e.service Merchant Services
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1 e.service Merchant Services With Debit Card Filter for Pre-Bankruptcy Credit Counseling Payments 1) Return the following: APPLICATION INSTRUCTIONS PROGRAM CHARGES CREDIT APPLICATION INCLUDE COPY OF 501(c)(3) e.service MERCHANT SERVICES CREDIT APPLICATION ADDENDUM e.service MERCHANT SERVICES AGREEMENT e.service MERCHANT SERVICES CLIENT INFORMATION SETUP SHEET BANKING AUTHORIZATION FORM 2) Review and keep the following items: Client Procedures Sample Authorization Form To be customized upon approval of your application Change, Stop, Credit Form 3) Once your application is approved, you will be contacted by a representative from Vanco s Implementation Department to assist you in the online portion of the application process. 4) Once you agree to the online terms and conditions, you will be contacted again by a representative from the Implementation Department to customize your authorization form and schedule a training session. For assistance please call Cheryl Malke at (800) , Ext. 462 MAILING ADDRESS: Vanco Services, LLC Whitewater Drive Suite 200 Minnetonka, MN FAX TO:
2 PROGRAM CHARGES e.service Merchant Services With Debit Card Filter for Pre-Bankruptcy Credit Counseling Payments For Non-Profit Budget and Credit Counseling Agencies NOTE: Please sign and date below after you have reviewed the following program charges. SETUP FEE $75.00 Includes set-up and registration CARD FILTERING.. $25.00 Provides the filtering necessary for accepting only Debit Cards Maximum transaction amount: $ One-Time Per Month TRANSACTION FEE AND DISCOUNT RATE Visa and MasterCard Debit Cards Only These fees will be deducted from your daily deposit. Transaction Fee $0.45 Per Transaction Includes successful, rejected, or failed transactions and refunds Discount Rate % Per Transaction NOTE: All transactions are subject to a billback. Billbacks occur when a transaction is cleared at a different rate than what is priced above. If this occurs, you will be charged the difference between the clearing rate and the priced rate. DATA ENTRY FEES There are no charges if data is entered via the Online Service Center, Virtual Terminal, or Internet Payment Gateway. However, the following fees are charged if data is entered by Vanco Services. These fees are invoiced at the end of the month and will be automatically debited from your designated bank account on the 15 th of the following month. New Authorizations and changes to credit card information... $1.50 Per Authorization Only if entered by Vanco Services Changes other than credit card information... $0.65 Per Change Only if entered by Vanco Services CHARGEBACK FEE.... $25.00 Per Transaction This fee is deducted if the Cardholder or Card Issuer initiates a dispute. See Client Procedures for more information regarding Chargebacks. REPORTS Reports sent via or accessed online.... No Charge Reports sent via fax. $5.00 Per Month OPTIONAL SERVICES The following fees are only assessed if you sign up for these optional services. Per Month Enables you to authorize, process and manage instant debit card transactions via Vanco s secure Online Service Center. VIRTUAL TERMINAL.. $7.50 INTERNET PAYMENT GATEWAY This API enables posting of debit card transactions initiated on your secure website. Check with your website developer for integration capabilities. Contact Vanco Services for API specifications. Setup fee.... $25.00 One-Time Gateway hosting fee... $10.00 Per Month I hereby acknowledge that I have received and reviewed the above program charges. Signed: Date: ** Pricing subject to change ** Effective October 17, 2005
3 CREDIT APPLICATION (Page 1) Please complete the information on pages 1 and 2 for use by Vanco Services, LLC credit underwriting. The information you provide will be used for the sole purpose of credit underwriting. Company Information - Required Legal Business Name: Doing Business As: Date Business Started: Street Address: City: State: Zip: Business Phone #: Web site Address: Type of Organization: Sole Proprietor Partnership Corporation LLC Federal Tax ID#: If a Non-Profit, include copy of 501(c)(3) Principals (Owners, Directors, Officers, etc.) - Required Principal #1 Name: Social Security # (If sole Proprietor or Partnership): Title: Percentage of Ownership: Home Address: City: State: Zip: Principal #2 Name: Social Security # (If sole Proprietor or Partnership): Title: Percentage of Ownership: Home Address: City: State: Zip: Principal #3 Name: Social Security # (If sole Proprietor or Partnership): Title: Percentage of Ownership: Home Address: City: State: Zip: Statement of Accuracy and Permission to Verify I hereby certify the information contained in this application is complete and accurate. Furthermore, I hereby authorize the financial institution and trade references listed in this credit application to release necessary information to Vanco Services, LLC for credit underwriting purposes. Authorized Signature on Bank Account: Title Date
4 CREDIT APPLICATION (Page 2) Business Information Type of Business: Business to Business Business to Consumer Internet Telemarketing Brief Description of Business: List any trade organizations you are a member of: Average transaction amount: Estimated number of monthly transactions: Business History Has the company or any of its principals ever owned or been part owner of another business? No Yes, When Legal Name of Other Business: Address: City, State Zip: Has the company or any of its principals ever filed bankruptcy (corporate or personal)? No Yes When Where Has the company or any of its principals ever had a judgement or lien filed against you? No Yes When Where Is the company or any of its principals currently delinquent on any outstanding loans or credit? No Yes Has the company or any of its principals ever had any SBA loans outstanding? No Yes When Financial Institution Reference (Required) Name of Financial Institution: Contact Name: Street Address: City: State: Zip: Phone: ( ) - Fax: ( ) - * Required to complete setup process Routing #: Valid Routing # must start with 0, 1, 2, or 3 Checking Account #: Savings Account #: Trade References (2 Required) (i.e. property manager, office supply, business supply, accountant, copiers and printers, lawn care) Trade Reference #1: Contact Name: Address: City: State: Zip: Phone: ( ) - Fax: ( ) - * Required to complete setup process Trade Reference #2: Contact Name: Address: City: State: Zip: Phone: ( ) - Fax: ( ) - * Required to complete setup process
5 e.service Merchant Services CREDIT APPLICATION ADDENDUM for Non-Profits Company Information Business Name: I hereby certify the information contained in the Vanco Services Credit Application is complete and accurate. I authorize Vanco Services, LLC and/or its agent(s) ( Vanco ) to investigate the individual business history of the Company listed on this Application and each representative signing this Application. I understand that such information will be utilized by Vanco to determine our credit worthiness as part of Vanco s determination of whether it will provide e.service Merchant Services to Company. If Vanco makes an initial determination of our credit worthiness and provides e.service Merchant Services to Company, I hereby authorize Vanco to conduct further investigations from time to time thereafter and to report credit information to others. Principal #1: Signature Title Date Principal #2: Signature Title Date Principal #3: Signature Title Date Credit App Addendum MS - Nonprofits Updated 09/27/2004
6 e.service MERCHANT SERVICES AGREEMENT THIS AGREEMENT, is made and entered as of the date that the last party to the agreement executes it between VANCO SERVICES, LLC ("Vanco") and ("Company"). RECITALS: A. Vanco provides services to its customers pursuant to various e.service programs, and B. Company desires to purchase e.service Merchant Services from Vanco pursuant to the terms and conditions of this Agreement. Vanco and Company hereby agree as follows: 1. e.service MERCHANT SERVICES. e.service Merchant Services is a service pursuant to which Vanco acts as the Merchant Services Provider and Payment Processor for credit card transactions for its customers. Vanco utilizes Wells Fargo Merchant Services and Wells Fargo Global Payment Gateway to process those credit card transactions. 2. COMPANY DUTIES. Company agrees to comply with all the rules and procedures of Vanco pertaining to e.service Merchant Services ( Client Procedures ). The Client Procedures, including all amendments, are hereby made a part of this Agreement and are incorporated herein by reference. Company acknowledges that it has received a copy of the Client Procedures. The Client Procedures may be amended from time-to-time by Vanco. Company will be bound by any amendments to the Client Procedures seven (7) days after receipt of the amendments. Company agrees, upon request from Vanco, to establish and maintain a reserve account with Vanco which may be utilized to pay any amounts owed by Company to Vanco pursuant to this Agreement. 3. SETTLEMENT OF TRANSACTIONS. The transactions shall be processed in accordance with the Client Procedures. Vanco has merchant accounts for the purpose of processing those transactions. Company will receive a credit, after deduction of the Program Charges, to its designated account at its financial institution ( Company s Account ) within two (2) business days after Vanco receives notification that a transaction which it has processed has been funded. A business day means a calendar day other than a Saturday, Sunday or Federal holiday. The funds shall be transferred to Company s Account by utilization of the Automated Clearing House ( ACH ) Network. In the event that there is a chargeback or refund for any credit card transaction processed by Vanco, Company hereby authorizes Vanco to debit Company s Account for such chargeback or refund together with any Program Charges. The debiting of Company s Account shall be made by means of ACH. 4. PROGRAM CHARGES AND TAXES. Company agrees to pay Vanco Program Charges for e.service Merchant Services in accordance with the Pricing Schedule. The Pricing Schedule, which Company acknowledges receiving from Vanco, may be modified at any time upon prior written notice. The Pricing Schedule specifies that some Program Charges are collected as part of the settlement of the transaction and others invoiced monthly. The invoiced amounts shall be collected by an ACH debit to Company s Account. The Pricing Schedule establishes fees that are small in relationship to the dollar amount of the transactions which Vanco is processing. Those rates have been established in contemplation of the limitation of liability provisions of Paragraph 7 of this Agreement. Any taxes or fees, except taxes based upon income, imposed by any federal, state, or municipal, or other governmental authority that may be applicable to the services provided to Company pursuant to this Agreement shall be paid by Company regardless of whether such taxes or fees are collected with the Program Charges and deducted when the transaction is settled, they are added to any invoice which Vanco provides to Company, or they are subsequently determined to be due and owing. 5. COMPANY WARRANTIES. Company hereby warrants as follows: a. Company has been authorized by its customer to receive payment by a credit card transaction; b. The transaction between the Company and customer is genuine and enforceable; and c. Company will comply with its obligations under the Client Procedures. 6. COMPANY LIABILITY AND INDEMNIFICATION. Company shall be liable for all damages which Vanco suffers by reason of Company s breach of any of its warranties set forth in Paragraph 5 of this Agreement or by reason of any other representation made by it in this Agreement. Company hereby indemnifies and holds Vanco harmless from all claims, damages, and causes of action which may be asserted against Vanco by reason of Company s breach of said warranties and representations as well as any claims which Vanco has against Company pursuant to Paragraph 3 by reason of any chargeback or refund from any credit card transaction. In no event shall Company be liable for any consequential, special, punitive or indirect loss or damage. 7. VANCO LIABILITY. Vanco shall be responsible for performing only those services expressly provided for in this Agreement and shall be liable only for material losses directly resulting from its intentional misconduct in performing those services. Except as provided for in the preceding sentence, Vanco shall not have any liability for failing to perform, for delay in performing or for negligently performing any services pursuant to this Agreement, and shall have no liability for any consequential, special, punitive or indirect loss or damage. It is acknowledged that this limitation of liability was an integral part of the setting of the Pricing Schedule and the amount paid to Vanco pursuant to Paragraph 4 of this Agreement. Notwithstanding the foregoing, Vanco shall be liable to pay Company for all amounts, net of fees due, pursuant to Paragraph 4, which are collected for Company s benefit as a
7 result of processing a transaction for Company pursuant to Paragraph 3 of this Agreement. 8. TERM. This Agreement shall continue in effect, unless terminated by either party upon thirty (30) days written notice. Provided however, that in the event that Company breaches the warranties pursuant to Paragraph 5 or if Vanco is unable to debit Company s Account for a chargeback or refund pursuant to Paragraph 3 or collect its Program Charges pursuant to Paragraph 4, Vanco shall be entitled to terminate this Agreement immediately upon the occurrence of such an event and will thereafter give written notice to Company that this Agreement has been terminated. Vanco shall have no obligation to provide e.service Merchant Services after termination of this Agreement. All other provisions of this Agreement shall remain enforceable after termination. This Agreement may not be assigned by either party except that either party may assign this Agreement to any successor by merger, consolidation or corporate reorganization. Each party hereby warrants and represents that the person whose signature appears below has been duly authorized and that all of the necessary and appropriate corporate authority exists for said party to execute this Agreement. VANCO SERVICES, LLC By (Vanco Services, LLC Officer s Signature) 9. CONFIDENTIALITY. Vanco acknowledges that in performing services for the Company pursuant to this Agreement that it will have access to information concerning Company s customers. Vanco agrees to treat such customer information, and related information which it derives from performing this Agreement, as confidential information which it hereby agrees that it will not disseminate to any third person, either in whole or in part, and will not in any manner use said information for its own benefit. Vanco shall take such steps as are reasonable and necessary to cause its employees to be individually subject to an obligation to treat such information as confidential. 10. MISCELLANEOUS. This Agreement and such terms and conditions that are subsequently accepted by Company in order to process transactions pursuant to this Agreement shall constitute the entire agreement between the parties and supersedes all prior oral or written representations, conditions, warranties, understandings, proposals or agreements regarding e.service Merchant Services. This Agreement shall be construed under the laws of the State of Minnesota and the exclusive venue for any litigation shall be in the courts in the State of Minnesota. Company hereby submits to the jurisdiction of said courts. All notices which may be given to either party may be given by mail or in person at the last known address of each of the parties. Its Dated: COMPANY By Its Dated: (Vanco Services, LLC Officer s Signature) (Vanco Services, LLC Officer s Signature) (Legal Business Name) (Doing Business As) (Company Officer s Signature) (Company Officer s Printed Name) (Company Officer s Title)
8 e.service MERCHANT SERVICES CLIENT INFORMATION SETUP SHEET PLEASE PRINT LEGIBLY Legal Business Name: Doing Business As: Business Address: City: State: Zip: Primary Contact Person: Title: Business Phone #: Fax #: Alternate Phone # (optional): Home Cell Other Best time of day to call for initial training: Address: REQUIRED INFORMATION 1. Which credit cards do you want to accept? (see Program Charges for card-specific rates) Visa MasterCard Discover American Express 2. Do you want to use Vanco s Virtual Terminal for one-time credit card transactions? (see Program Charges) Yes No 3. How do you want to receive reports? Download reports myself from the Service Center Fax (additional fee) Data File 4. (a) What is your estimated number of monthly credit card transactions? (b) (c) (d) What is your average credit card ticket amount? $ What is your total for monthly credit card sales? (a) x (b) = $ What is your percentage of transactions received via the Internet? % SERVICE CENTER ACCESS: Vanco Services requires the following information for access to our Online Service Center. Please provide the name of the individual who will be your organization s Service Center Administrator. The Administrator will have the ability to setup additional Service Center users and assign equal or lesser security access to others within your organization. Also provide an eight character User ID and a valid address. Name of Administrator: User ID: * Must be exactly 8 characters long and is subject to system availability. * Required for Service Center access Questions or special instructions (e.g. list of funds you would like to set up, we recommend a maximum of 6 funds): For Vanco Use Only: Account Manager: Client Info Setup MS Edited on 05/27/05
9 BANKING AUTHORIZATION FORM Company Name * MUST COMPLETE BOTH SECTIONS EVEN IF INFORMATION IS THE SAME * AUTHORIZATION TO DEBIT AND/OR CREDIT ACCOUNT PER e.service AGREEMENT(S) I authorize Vanco Services, LLC to initiate VARIABLE transactions to the account indicated below. This authorization will remain in effect until I notify Vanco Services, LLC in writing to discontinue. Name of Financial Institution Street Address City State Zip Authorized Signature on Bank Account Title Date Account Type: Checking Savings (ATTACH A VOIDED CHECK) (Contact your financial institution for the appropriate Routing Number) Financial Institution Routing Number: Financial Institution Account Number: * PLEASE ATTACH A VOIDED CHECK * AUTHORIZATION FOR ELECTRONIC PAYMENT OF VANCO SERVICES PROGRAM CHARGES I authorize Vanco Services, LLC to initiate DEBIT transactions to the account indicated below. This authorization will remain in effect until I notify Vanco Services, LLC in writing to discontinue the electronic payment. Name of Financial Institution Street Address City State Zip Authorized Signature on Bank Account Title Date Account Type: Checking Savings (ATTACH A VOIDED CHECK) (Contact your financial institution for the appropriate Routing Number) Financial Institution Routing Number: Financial Institution Account Number: * PLEASE ATTACH A VOIDED CHECK * Banking Authorization Form Edited on 07/21/04
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