Thank you for choosing Kudos!

Transcription

1 Thank you for choosing Kudos! Our goal at Kudos is to provide the most dependable, most straight forward, and most cost effective payment processing in the industry. The next step in the process is to apply for your Kudos merchant account, provided by our processing partner Pivotal Payments. If you have any questions about filling out your application, please do not hesitate to contact us at available 9AM to 5PM CST M-F or 1. Fully Complete the Application 2. Attach a pre-printed voided check a. If you do not have a pre-printed voided check, please attach a starter check to the provided form and have your bank SIGN and STAMP the letter and return with the application. b. An alternate option is to have the bank provide a letter on their letterhead with your Account Information, this letter needs to be SIGNED and STAMPED and returned with the application. 3. Submit by either Fax or apply@takekudos.com Fax: Helpful Definitions Average Ticket Average ticket size is referring to the average dollar amount of each credit card transaction. If you don t process credit cards, simply make an estimate of what you believe the amount of the average credit card sale will be. Keep in mind that credit cards sale transactions are typically higher than cash or check transactions. If you already process credit cards, simply divide your total monthly MasterCard and Visa volume by the number of transactions to arrive at the average ticket size. Monthly Volume Gross monthly sales volume (total cash and checks). Merchant Customer Service # This is the number that you would like your customers to call you for questions or service.

2 MERCHANT APPLICATION AND AGREEMENT MERCHANT BUSINESS INFORMATION Name of Entity (Legal Name): Agent Office / Inside Sales Rep Name: Kudos Payments Sales Rep Telephone #: Fax #: Name of Business: Corporate / Billing Address: Location Address (No P.O. Box #): City: Prov: Postal Code: City: Prov: Postal Code: Telephone # (Cell Phone): URL: GST exempt q GST Tax ID: Telephone # (Landline): Fax #: Time Zone: Product or Service being offered: How long in present business? Years Months (Statement): Attention: Merchant Customer Service #: What descriptor would you like to appear on customer s credit card statement? (max 24 characters) Bank ID: Bank Transit Number: Bank Account Number: Bank Branch Postal Code: Account Holder Name: OWNERS OR OFFICERS (Ownership must be equal to or greater than 50%) Title: address: Percent Ownership: % First Name: Last Name: Date of Birth: (mm/dd/yyyy): Home Address: City: Prov: Postal Code: Home Tel. #: SIN Driver's Lic. #: BUSINESS PROFILE Type of Ownership: q Sole Proprietorship q Partnership q Corporation q Limited Liability q Government q Non-Profit VISA / MASTERCARD SALES PROFILE (be as accurate as possible or delays will occur in processing the application) CARD SWIPED: 90% CARD NOT SWIPED: 10% Average Ticket: MUST ADD TO 100% ELECTRONIC DEBIT / CREDIT AUTHORIZATION Monthly Volume (Visa/MC combined): Please provide a pre-printed void business check or bank letter confirming your business account Transit # (Routing) and Account# (DDA). By providing this information, you are authorizing the Bank to initiate EFT debit and credit transactions to said account in accordance with section 5.09 of the TOS. DEFINITIONS: "Merchant Application" means this Merchant Application between Peoples Trust, Pivotal Payments Direct and Merchant. "Merchant Agreement" means this Merchant Application once approved and accepted by Peoples Trust together with the Terms of Service ( TOS ) found at PEOPLES TRUST DISCLOSURE MEMBER INFORMATION: Peoples Trust Company ("Peoples Trust") Dunsmuir Street, Vancouver, BC, V6C 3K4 - Tel. (604) Important Peoples Trust Responsibilities: 1. Peoples Trust is the only entity approved to extend acceptance of Visa, 3. Peoples Trust, not Pivotal Payments Direct must hold, administer and Important Merchant Responsibilities: MasterCard and Interac products directly to a Merchant. control all reserve funds derived from settlement. 1. Complying with cardholder data security and storage requirements. 2. Peoples Trust is responsible for educating Merchant on pertinent 4. Peoples Trust, not Pivotal Payments Direct must hold, administer and 2. Maintaining fraud and chargebacks below established thresholds. Visa, MasterCard, Interac operating regulations with which Merchant control settlement funds for the Merchant. 3. Reviewing and understanding the TOS located on above website. must comply. 5. Peoples Trust must be a principal (signor) to the Merchant Agreement. 4. Complying with Visa, MasterCard, Interac operating regulations. The responsibilities listed above do not supersede terms of the TOS but are provided to ensure the Merchant understands some important obligations of each party and that Peoples Trust, as the Visa/MasterCard/Interac member, is the ultimate authority should the Merchant have any problems. Signature #1 Title: p. 1 of 4 MA_PPD_PPL_KUDOS_111122

3 CREDIT CARD ACCEPTANCE OTHER CARD TYPES q Visa q Mastercard Discount Rate Per item Discount Rate Per item Card Swipe 2.90% $ % $0.20 Non-Card Swipe 3.90% $ % $0.20 SE # (10 digits) Auth. Fee q American Express $0.20 SEASONALITY Do you operate Seasonally? q Yes q January q July q February q August q March q September q April q October q May q November q June q December q X Auto Settle: YES SCHEDULED FEES Chargeback (upon occurrence) $25.00 /item Retriveal (upon occurrence) $15.00 /item Return Item Fee (upon occurrence) $15.00 /item PCI COMPLIANCE 1. Do you store credit card numbers? q Yes q No 2. Do you use a third party application that transmits or processes cardholder data? q N/A q Yes q No 3. If credit card payment information is taken over the Internet is payment channel encrypted by SSL or better? q N/A q Yes q No 4. If merchant is an e-commerce merchant, is an SSL Merchant Certificate utilized? q N/A q Yes q No If yes, please provide the following: Merchant Certificate #: Certificate Issuer: Exp. Is Certificate? q Individual q Shared Upon processing your first transaction you agree to the Merchant fees, discount rate and authorization fees set forth in this schedule A. Different Merchant discount rates apply to Cardswipe and Non-Cardswipe Transactions, as shown on Schedule A. The Merchant discount fees are based on sales, not net sales. Merchant agrees that Bank and Pivotal Payments will deduct Merchant discount fees from the Operating Account or Reserve Account on a daily basis unless a monthly basis is specified on Schedule A. Merchant shall pay Bank or Pivotal Payments for any other services provided to Merchant by Bank or Pivotal Payments and for all other fees including, but not limited to Chargeback fees, Retrieval fees, Online reporting fee, Association fines and penalties, CRA taxes and ACH reject fees. PERSONAL GUARANTY: The undersigned individually, absolutely and unconditionally guarantees to Pivotal Payments Direct ( PPD ) the prompt payment of all amounts due under this Merchant Agreement (i.e., this Application and the TOS) including all attorneys fees and costs associated with enforcement of this personal guaranty. PPD shall not be required to first proceed against Merchant or enforce any other remedy before proceeding against the undersigned. This is a continuing guaranty and shall bind the undersigned s heirs, successors and assigns. The undersigned consents to any extension or modification of this application and TOS. The release or compromise of any obligation of Merchant or any other obligors/ guarantors shall not release the undersigned from its obligations under this personal guaranty. Signature #1 Print Name Title Date p. 2 of 4 MA_PPD_PPL_KUDOS_111122

4 Equipment Type: Apple, Android, RIM /Blackberry (example; iphone 4G, ipad, Motorola Droid Pro, Blackberry Pearl 8100) EQUIPMENT Brand: Model: Please complete as many of the following questions that are relevant to your business type. Not all questions are applicable to all business types. Please indicate Not-Applicable ( q X N/A ) in such cases. 1. % of total card sales: Business to business % + Business to consumer % = 100% 2. How long after payment is product delivered or service fulfilled? q N/A or 0-7 days % days % days % + over 30 days % = 100% 3. Visa/MasterCard/Discover card sales are charged to the card on: q Date of order q Date of delivery q Other (specify): 4. Who performs product / service fulfillment? q My Company q Vendor q Other If vendor or other, add: Name: Contact name: Address: City: State/Province: Zip/Postal Code: Phone: 5. If your product is shipped, what delivery method do you use? (Ex. Regular Mail, Fedex, local delivery service): SITE SURVEY 6. Does your business charge recurring billings to customers? q N/A q Yes q No 7. Does any of your billing or marketing strategy involve negative response, or automatic billing? q N/A q Yes q No If yes, please explain: 8. Do you require deposits? q N/A q Yes q No. If yes, % of total sale: % OR Flat fee: $ Is final payment due before fullfillment? q N/A q Yes q No. If yes, how many days before final delivery? 9. Do you have a refund policy, and if so, what is it? 10. What are your product/service guarantees or warrantees (if applicable)? 11. Advertising method: q Internet q Catalog q Direct Mail q Phone book q TV / radio q Newspaper / Magazine q Other (specify): ACKNOWLEDGEMENT. Merchant certifies that all information set forth in this Merchant Application is true and correct and that it has read and agreed to all terms of the Terms of Service ( TOS ) located at incorporated herein by reference. This Merchant Application together with the TOS constitute the Merchant Agreement. Merchant, its representative(s) and each person whose information is on this Merchant Application authorizes PPD, Peoples Trust and their agents prior to acceptance of this application and from time to time: (i) to investigate the individual and business history, creditworthiness and background of Merchant, each such representatives and any other officers, employees, partners or owners of Merchant (collectively Merchant Principals ); (ii) to obtain credit reports, financial information or other background reports on each of the Merchant Principals; (iii) to use personal information provided in this Merchant Application to facilitate provision of services hereunder; (iv) to use and share such personal information with financial institutions, payment card issuers, credit agencies and similar agencies for reporting purposes and for investigating fraudulent or suspicious activities regarding Merchant s account. Merchant agrees to all the terms of this Merchant Application and the TOS. Merchant acknowledges that this Merchant Application and the TOS shall not take effect until Merchant has been approved by PPD and Peoples Trust as evidenced by the issuance of a merchant identification number. By signing below, I represent that I have read and am duly authorized to sign and submit this Merchant Application for the above business ( Merchant ) and that I have read and agreed to the terms of the TOS. MERCHANT: PEOPLES TRUST COMPANY (BANK): Principal #1 Signature X: By: Print Name: Name and Title: PIVOTAL PAYMENTS DIRECT CORP.: By: Name and Title: p. 3 of 4 MA_PPD_PPL_KUDOS_111122

5 ATTACH VOID CHECK HERE This check identifies the account from which Pivotal Payments Direct is authorized to initiate credit and debit entries as per the Pre-Authorized Debits (PAD) section in the Merchant Agreement. *** SECTION BELOW TO BE COMPLETED ONLY IF THE COMPANY NAME IS NOT PRINTED ON THE VOID CHECK MERCHANT INFORMATION AND AUTHORIZATION I hereby authorize my bank (referenced above) to confirm to Pivotal Payments Direct that this check is linked to an active bank account. Company Name: Name of Signing Officer: Merchant Name: Signature: Attention: BANK CONFIRMATION (FOR BANK USE ONLY) Dear Sir/Madame, our mutual client has applied to Pivotal Payments Direct for merchant services. Kindly sign and stamp below (both are required) in order to confirm that the account above is active and valid. Once completed please return by fax to: Bank Representative Name: STAMP HERE Phone # : Signature: PPD June 2010 v1