HomeMy WebLinkAboutRes 09-12 Authorizing a Contract with Telecheck Services TOWN OF WESTLAKE
RESOLUTION NO. 09-12
AUTHORIZING A CONTRACT WITH TELECHECK SERVICES, INC. TO PROVIDE
CREDIT CARD AND ELECTRONIC CHECK VERIFICATION SERVICES TO THE
MUNICIPAL COURT,
WHEREAS, The Town desires to offer an expanded level of service by accepting all
major credit cards and offering electronic check verification for the Court customers, and
WHEREAS, TeIeCheck Services, Inc., will provide credit card processing services for
the Town of Westlake, and
WHEREAS, Westlake desires to offer high quality services along with financial
stewardship, and
WHEREAS, We have developed an agreement, attached as Exhibit "A", establishing
the services to be provided;
NOW,THEREFORE, BE IT RESOLVED BY THE TOWN COUNCIL OF THE TOWN
OF WESTLAKE, TEXAS:
SECTION 1. All matters stated in the Resolution above are found to be true and correct
and are incorporated herein by reference as copied in their entirety.
SECTION 2. The Town Council of the To of Westlake hereby approves the
agreement with TeleCheck Services, Inc., relating to the provision and installation of a credit
card terminal for the processing of personal checks and electronic payments, attached hereto as
Exhibit "A",- and further authorizes the Town Manager to execute the contract on behalf of the
Town of Westlake, Texas.
PASSED AND APPROVED ON THIS THE 23" DAY OF MARCH 2009.
ATTEST: Laura Wheat, Mayor
_71
Kim Sutter, TRMC, Town Secretary `Thomas K Brymer"To' nVlanager
APPD TO F, 4:
L!-St6i4on L t own'Xitorney
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Fm:tvlyF x-First DatalTelecheck To:Troy Crowe(18174300967) 12:40 02124109Ga141T-05 Pg 02-06
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Ple-o read the Merclatant.Processing ing Program Guide In its entirety,It describes the tentis under whish we will provide merchant processing services
to ys a.
Froi time to time you may have questions regarding the contents ofyour Agreement with us.The following Information summarizes portions of
your k-greement in order to assist you in answering some of the questions we are coast commonly asked;
1. ` aur discount rates are assessed on transactions that qualify for 6. We have assumed certain risks by agreeing to provide you witty
certa r reduced interchange rates imposed by MasterCard and Visa. Any Card processing or check:services.Accordingly,we may take certain actions
trans ;tions that fail to qualify f®r these danced nates will be char cd 31 t€a mitigate oyer risk, including termination of the Agreement, and/or hold
addit mal fee(see Section 18 of the Card Processing Program Guide)- monies otherwise payable to you(see Card Processing General Tereus in
Section 23, Terme_, Events of Default and Section 24, Reserve Account;
2. y e may debit your bank account from time to time for amorants owed Security Interest) (see TeleCheuk/TRS Services Agreement in Sections
to us edea'the Agreement. 1.1, 1.3.2, 1.3.9, 1.5.2, 1.5.'7, 1.7.2, 1.7,10, U.2, 1.8.8, 1.9,and 1.10) (see
3. 1 sere are many reasons why a Chargeback may occur.When they Section 6.4 of the`I'I2S Services Agreement),under certain circumstances.
ocem roc will debit your settlement funds or settlement account.For a more 7. BY executing this Agreement with us you are auth000ri Ing us to
detail d discussion regarding Chargebacks see Section 10 of Card obtain financial and credit information regarding your business and the
Procc sing Operating Guide or see the applicable provisions of the signers and guarantors of the Agreement until all your obligations to us are
Telc( reek Services A.greerraerrt, satisfied.
. I ;lou dispute any charge car funding,,you must notify us within 45 8. The Agreement contains a provision Heat in the event you
days the date of the statement where the charge or funding appears for terminate the Agreement early,you will be responsible for the payment of are
Card Vocessing or within 30 days of the date of a TeleCheck transaction, early termination fee as set fjcarth in Part 1V, A.3 under "Additional Fee
Infortuation"and Section 1,38 of the TeleCheck/TRS Services Agreement.
5. T e Agreement.limits our liability to you. For a detailed description
of the imitation of liability see Section 20 of the Card Processing General 9. If You lease equipment from Processor, it is important that you
Term: or Sections 1,17 and 1.28 of the TeleChecklTRS Services review Section I in Third Party Agreements. THIS IS A
Agret rent;or Section 6,11 of the TRS Services Agreement. NON-CANCELABLE LEASE FOR THE FULL TERM INDICATED.
10, A aociation Disclosure
V a and MasterCard Member Barak Informatiotn:Wells Fargo Sank N.A.
TI :Bank's mailing,address is 1200 Montego Way,I,rr%aluut Creek,CA. 94598
at it`s phone number is(925)746-4143
Ir aortant Member Bank Responsibilities: Important Merchant IEespousi Mtics:
(a The Bank is the only entity approved to extend acceptance of Visa (a) Ensure compliance with cardholder data security and storage
<ar MasterCard products directly to a Merchant. requirements.
(le The Barak must be a principal(signer)to the Merchant Agreement. (b) Maintain fraud and chargebacks below Association thresholds.
(c s lie Banat is responsible for educating Merchants on pertinent Visa (c) Review and understand the terms of the Merchant Agreement,
an MasterCard Rules with which Merchants must comply; but this
in, rmation may be provided to you by Processor, (d) Comply with Association rules.
(d The Barak is responsible for and must provide settlement funds to
the Merchant,
{e The Barak is responsible for all funds held in reserve that are,
de ved from settlement.
Print c dent's Business Legal Name: T0,1A'iti OF 1j.7 T5,T f.AW TP
BY its: gnature below,Client acknowledges that it has receive
the [nterclsange Qualification Matrit(version It)MM iscS.0R.1 or tiers=ear, z��-ugtft3 C1g t,tl, 1' tall )
aux complete Program Guide(version SA'Jv7 i 3 04 )consisting of 466 pages(including this confirmation).
Client rrther acknowledges reading and agreeing;to all terasns in the Program Guide-Which shall be incorporated into Client's Agreement ?Upon
receipt %f a signed facsimile or original of this Confirmation Page by us,Client's Application will be processed.
NO AL ,E TIONS OR STRIKE-OUTS TO THE PROGRAM GUIDE WILL RE ACCEPTED.
Client' Business Principal:
Sil nnatt e(Please sign hedaM):
i 4-k
'title
v Date
Please I Int Name of Signer
Fm:MyF x-First DatafTelecheck To:Troy Crowe(18174300967) 12:40 021 f09GMT-05 Pg 03-06
IM ENE13333MEE11503
as x
Mere nt
Loc. 't of 1
TeleC eck Subscriber : Ad l'd TeleCheck Product Subscriber#:
Cent ° s "
(YOUT I siness LEGAL Name):T(}'WN OF WEw+LAKE
l S as Legal Name or provide: First!Last
D8r t Outlet Wattle:TOWN OF WESTLAKE Contact Ndme:TROY CROtt E
(NDP.( Box)
Addre :3 VILLAGE OLE----20:2 Suite#: City;WESTLAKE State:TX Zip Code;716262
C3 Same as business Phone or
Your E siraess Phone:(8`s7;490-57:6 Merchant's Customer Service Phone:(8i7)7900-,r7 r6
Your t x Phone: Select One for Retrieval Requests: 0(02)Dedicated 24 Hour Fax l3l{i>3}No tax:mail
Your I tai Cash and Credit Sales " _ '
(For A Dutte#s) $ 0 3.t14v.nfl Estimated MCPVma Average TickelfSales Amount: $15Q af)
Total i nual MC;Vrss Volume: Estimated Discover Network Average Ticket for this Outlet: �gv�00
(Prat rt azttets) Hn.r00.flo Estimated American Express Average Ticket for this Outlet $
Total F nual Discover Network Annual MCAS a Volume for this Outlet(Fur m;jiliple outlets Orly)
Totem (For All American
$1u:30 .000 Est.Discover Network Annual Sales Vol.for this Outer: For Mzriti e OU&ls Only) $
Tota}t heal Amerl::an Express ( p!
Volume (For All Outlets) $ Est.American Express Annual Sales Vet.for this Outlet:(Farr Multipis Oufiets()pjy)$
0 EGA 'Warranty 0 EGA Verifica-tion wf TRS Collections p ECA Verification OTRS Collections See TRS Service and Recovery Rate Section
OLock ox Warranty 0LockBox Verification CI Check Cashing Warranty 0Check Cash€ng Verification 0Other
QPape Warranty E3 Paper Verification 0 COD Warranty O Mail Order Warranty Existing Subscriber#:
0 RSC 1 isa 0 Discover Network Full Processing
Cl Voyrz >r Fleet`or Existing Voyager Ace`#:` Annual Voyager Volume:$ d_I MC Fleet Q Wright Express or Existing WEX Acct#.
Tax xempt Voyager Cards accepted: Ll Yes ONO
0 Non- c.,PCB(EDC) (Existing Accourt#) or 0 JCB License 2BOAflDtta li
O Amei an Express l=ull ServicetEDi, or 0 Existing SE## Checkone: O Split tial D Single Settle 0EDC O PIP O Reverse PIP
Amey an Express Cap# Eraachirse Name: Other: SE#:
0 Debit lackage� 84014230 DEBT FNS#(XREF): 0-FRMS Gift Caret C3—FDMS Loyalty Solutions
A set rate S; p Form€'require&
ME W
r a a
State ly op. TK Mcrrfta Yr,Started: 0-gOIa Ownership O Partnership �0 Non Profi TTax Exempt o public Com. Cl Private Carp. O LL.C_ 0 GoI
.lag San re9,000 %+-Keyed Manually, 0 %=100% Praduc VServices You Sell;
POS C< I Present(MA(i Swipe a sdior Manual imprint) 1 0 % +Mail OrderlDirect Marketing e 0 "f +Phone Order O % +irdemet i, °f=100"
DO you se any tHrd}darty to store,process or transmit cardholder data? O Yes O No {Exanzlxes indrads,but not frmited 10 web hosting(xampades,Elertromc Data Captrxs,Loyalty programs)
If ye; give name/address:
Please; sntify any Software used for storing,transmitting,Or processing Cared Transactions or Authorization Requests
Chem c e:TIN Type: Ell ElN(Fed Tax ID#) O SSN TIN ID#: D&B#: No,of Employees:
amo
Networl, E3( )CARD net :l( j Nashville 0( )Suypass 13 Other: Specify Security Cale: ( )
Renta Purchase Retail"Restaurant"M8)TO I Internet Unit For Customer-Owned
Gust. ver-Owned Equipment T t c dginq"aupermarKet'Car trental Pito Equipment
Lease circle ane) QTY €P (Le.Terminal t VAR Internet) {UicK Service Restaurant*Petr Mode€Code and Name win Tax Track/Version f Serial#
48 fl:- i:#v Lease CI TERMi RE T A€L FED200 TERMINAL 24.44
46 k, .th L case C3 PiFSPF.T..l PET Air- =D10C.PtNPACt 12.x3
l�
lC3TE° tray
Dial Instructions must be'enc€uded can About Merchant's Business Page
lnstallati, #/Frain€ng: O MACJMIG to Train (receive training via phone dial 1-80p) -ra53-7401 Galt_#1,h4-F 8:00 am-400:00 pm EST arrrcf Sat. 10:09 am-7:043 pm EST)
E1 Sales Rep.to Train O No Merchant Training O in-House O PACT (Check Training via phone 1-800-366-1054 7.001-6 30p Cr)
First'Las 'ontaut Name TROY CR Conlea Phone#": (817-1 490.67s6 Best Time To Call 10 30 AA9 'tJ amfprR
Imprinter 'urchase: Dyes O Nn It Yes S x Qty_ __=$ (Wo Tax) Wilvless Provider:0 GPRS Cingualar or E3Other:
Check Q a: O Gateway Scslutions O Dial Solutions 0YourPay O EFSNET'- O VSAAT* O Frame E3 Other: E3 PC Verify Serial#
VAR/Int net 1 Software; Name: (Nashville Only. Product ID# Vendor Ica#t )
NOTE: EFSNE I"Technical Contact:Nance E-Mail Phone
'Requires separate agreement between VSAT Provider prior to implementation of this tetecommunkca#ions protocol.
ELEASE .OMP :(0 )First Data Global Leasing #ease Term: 48 Months Annual Tax dandling Fee:$ 100.2Lease Charge f9r Th€s Locat€on S 37;1 w/o taxes,late fees,or outer charges that they apply.See Multiple Locations form for the Monthly Lease
each inrlrviafewllocation. See Lease Agree»sent fear dvUgs.This is a QN-LARGE_ABLE lease for the full term ind€cated.
1KNOWN
c _ - - e RSAWT9fi434
0wv,e:1 F trier f Coker Nance: L3.0.8: Social Security#: Home Phone: %of Ownership:
Iiome Ad ass: City: State: �Ip:
truer d F rtner IOfficer Name: Li.CP_B; Social Security;#: Horne Phone: n of Ownership:
Home Ad ess: City: State: Eg;
y,
C€kept Initials
Fm,,MyF x-First Dataffelecheck To:Troy Crowe(16174300967) 12:40 02124109GMT-05 P9 04-06
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DSA I ,me:T WN C3F aA d=-,TLA F Prion T Interchange Schedule Vers(xro:
p Ype - RSAJAVi5.FOR.2On9 P�mil
Loc. 1 of 1
S#
1-Up Fees(Qre erne Charge) Discount Fees(Based on Gross Transaction Vofursza)
MjW Fels-_ Accept&II Mastercard,Visa,Discover Network and American Express@ Transactions
Apple tion Fee (presumed,unless any selectrons below are cltec&ed) nDisc—over
Visa
galfte ae 6 ccerctance r NetworkVAsa A #once ss Thru{Nest- efurx sbfe) (2 7? l Accep€MC Credit transactions t Ci Accept Visa Credit transactions
Repro ramming Fees (31A) $ Q,00 13 Accept SIC Nan-PIN Debit transactions anlu #�Accept Visa Non-FIN Debit franc- ni to xhan2eDebit >t-up Fee (31B ' �r. {ess).�Misc. ?e '; 13 pt Diecover Nek+ ark Credit transactions l FicFwwR
( S I) S 0 Accept American Express Credit
(3 Accept Discover Network Non-PIN Dabit ti transactions stn M-1,-r--d Ascec—
'Eget{ wait Purchase (AGI#) UC See Section `i.9 of the Program Guide for details regarding limited acceptance. You are responsible for V*aA }Ronent Fan
Other ( ) distinguishing Credit from Non-PIN Debit Cards.Even if you have agreed to limit y cur acceptance oat certain cards
as outlined above,Ycrou must continue to acxept all foreign issued cards,whether Credit or Non-PIN Debit If ou {aD4 .o9es�w,wa
Total, nnunY $ 3 D w.Ier agree#a Et nit your acceptance to a Particular type of mrd and,whether intentional or in error,accept another#y ne cF erw�k
as transaction, the resulting transaction will downgrade to the highest cast Interchange us the type iF�
Nan-Qualified Surcharge(See Section 18.1 of the Program Guide) 9 plus applicable {sac)-1.091 a y
I Monthly Fees ftf Appf#Gable) el fess oa
C F Visa MC J Visa Transaction Fees MCIVisaPL3iscovor a s F
es
Sarvc F (335) S QQ0 Discover Discover {. ,s m paccnrrsazzaa re Ne#workt Sd aWaie.
Network Network nll2-rwa mc!Y—i merican Expre
ACH ert Fee (40 1) i5-0^ FaiciFt Me#ttrsd. Sefa,t Cane 2-iter 3 T'tee' a�a tae�o xs r�aNcr) Cliscourst Rate
Mlininta ^r QU FIED IMSCOUNT.RATES
Proow ing Fee (954) $ 25-Q2
4Virele •Access Fee (399) MC Ca estiz Diacounr Rate (icon) i�� °la Nam Huai genu 1`a¢
Tuns Fee 1.00 to
Vt,E P ?TID #OF TIDs TOTALtoot,ties,was,ass)5,,,,_„__
Visa Credit Discount Rake (804) °ja oto %
Discover Network Oacovar Fyicrest
Gll2.tttL 8 (32R) $ +(1._00 Credit Discount Rate (170) of % Tn3 Fee(016018)$ ✓
Paper atement Fee (323) $a Via American Exp eW' L p n w- ,1p r r ro � Tr
Credit DLSCE3itnI Rakes {r4ey 0-S70) „(s..{ :c'i,if.. t K ,� .
;€ la r.U,:??'N
yn 1.,Equipment Sf(32U Program MC Ni Debut Di&xx nt Rate 185Gj _ (� °a etc u1,a ret Nn�€N of
L7 v¢s L o 4oe {3215) "�
Debt Trans Fee
Other, $ 41,a,gat,asa.i96)
Visa Non-PIN L'asbik%?recount Rales (854) % k
Supplie PREP eu Foo v
Dr::_�c NGhVterk Non-PIN --
Debit Discount Rate (964) °la % ala CC off.
Bit el Annual Fees(October) D.QUAL.IFIED DISCOUNT RATES CK as oral s
GomR(i ace Service Fee(3203)$ fig.7^
( pply 20 MClVisa(Discnuer 2 Flex)
r
NO Credit Discount Rate
(620} ?hk 5r;j ^1, °lo Trans Fier `yart gib€,t i`Y}>v' ty';S .t7n.�'`
PIN Debit
(Diest c: stN'te cxrt}'one of i7te iRJk»dL'74 Ursa G3Fsdat Dia-axxrnt Rata (814) £3<t�r �` °fo
bit ss se acS�) 7 O cove n1,e cHsa;
Bun le Pint Ua}rrt $ Ckseouer Nekswark ter ✓d D"never W-Qt
{183,K 11-893} Credit Discount Rate (99.p)t ') r a u
MC Nn»-PIN Debit
Unbun, ed PIN Debit $ Discount Rate (874) o
a s ?acv-irr,n zi�nn-a-�r �C ', Sw,'Lr i( cie ksr Yet '.ar r$l ,25
DTrensFFee ceo't
(018,K, 0-590,Key 0-593) Asa Ni Debit ys ' ',�'��c'7��} St {tae,141,14A,trip
' a "+�.7c 1
'des n1,; a icatChscaini Rede
te nettvark`ees (era} { � rrF< %
ln#ertae# Discover Network Nuir-PIN w� 3 S�, bisratitvr Mia-Rua3 "-'g '�
x rtis,-!1,N Debit
Debit Disazun=Rate (96 %
&} r S __
Tracts FeeU91.792}
rt-U: Fetes
NONI-QUALIFIIED DISCOUNT RATES
Y®urPay^ st-up Fees (31X)
FEE f'EF 7 DOF TIDs TOTAL Non-ow.r CrecGt e�1 <�.;a� "` a '*r �r.z,r `' .•te-
$ MCCredit Discount Rake (820) n{ o� ;r,.x'I.Nts{ 'S ,.�.✓,i�.t�s�#� ,+'1`fNe.1),�
TrdnG Pce ,,� ir"."''r§
(62:.822.625-626)$,
Internet -up Fee (;3118)
FEE FEF ID #Cit TIDs TOTAL Vlss credit Discount Rate (824) eta off+
� x f3iscaerer Nr, .rh Discover t+&xa-G4zei ,
CretltDiscount Rateoa
Bit d Ill ai#itly Fees {994) ar`o ro 4121,7221 $ t�x)aC# 3 c r 3 rS ' n 7
MC Nan-PIN Debit
Yourpay Az) (880) °res In r+AC.dLI Nan,
DtsC4#FtTf Ria a oust Note-darn
FEE PC-�i eta #OF 7iDs TOTAL
Debit Trans Fee
X $. L`+sa Non-PIN Debit, quo,151,sen,tSSi
^� Discount Rare 1,864, ,� c
r
Internet-, vice t=ee -341 r a al 'TS'S^y1fi t,f, 4w ? sssr a?r}i }� �f �.
FPF PER .D
iF OFT2Ds TOTAL DIS01111N@tWLdrk Ng71-fin Di�k40l
$ X $ Debit mount Rate 1978
Tan Cter
Fees. R+�eaGAilsVrincsaTrqaunt:la7€caePirzaanttFees
enses&sc7tvn� }as,ss
xra
r^t'Ut zs
$ - - 0 3 z� ,. S. d zr .+',res 3t1a »'s.yzzr` $ v (?670
DPscevcr Metwcn-k AiHia&fewitarn
Transaction Fee 016,.7138'
{ r
EnfiEiem+enis EXPneSSB,
Return Transaction Fee
G s r x 1,u t2, (fir e4.a 144.r
xrnnotc¢a;xxa earn _. ._ .
of, �greSS Non-QuatitRed Surcharge Fee {3DDj
E"11.1
or?-Full; rma) tsxckxHnp:rNer m N {�a ) i x'(k+ al a r("f r(�ia r ''h�rrt b�.`t F31, stet a Sv`ast.:
C$ if F, �� T i� 4v 5 tri S ski �K 4s d)'3 4 y bra fla
{ frr+s,sez Sarnan*H.pj Aophe c 1, q 4f,ri:.
N _Qs fifred t4fs1,v9,biscover f3eiworx and Amencan 'a};. r 1Y 2 r 2 I rf =„, r 'r't'�.t ik �, 'k`�,r
JCS Lt-1.":111
iCBn. (754} a arty y*a3 :�rs`"is fikapx�� " �^�<tk_rf;`.: f >t-,1zls*•4r`r-t 4 a
� s Cxee�arr{itne�PtN Ueert 7rm1,sawane �-a t ti td��' fl r s`�`,`r
` `o'{}`�.,
"tau will i chargqed the applicable -Retail merchants will be charged an a iditional 4.30%for non-swiped American Express transactions.Siate,Cii Lcacat Sales lax Ciient Initials I),
i.f
Fm:MyF x-First Dataffelecheck To:Troy Crowe(1817 3009 7) 12:40 02/24109GMT-05 P9 05-06
Ina a
DBA arae:T" VI CF VvfEST!AK
tSAWT11p4 Loc. 4 of
a RSAWTCorpFee'1104
8u ss Fees
t}ther F
Data re Mircon ode CI Yes CI NO
=BoMerFee
(205,725,20L)$ 26..00
Data, re Mint anode Cross960 r ,Monthly Fee (354) (c ach) (605) 0.50 %
ee
.Authori2a€ion F as (22A) is.5i3 ?la
MC I Viss I Discover Network t American Cxpres
Voya T (ODO,ODI,ODV) $ se Voice {10$,10E,10K 1€}0)$ G i�
EST
(IBE,181,02X,18H)$
vvEx (ost3,061, Bv) � AVS
(405,406,4t37,408)
C3#her avreaent Fees Discover Network AVS (071A,07E3,07C:079)$ D.2
Ya , Batch Settlement Fee (227)$., 0.3F
Sates iscount hate (844) +la MC t Visa d Discover Network Access Fee (505.5{34,526)$ 2.2f)7:>
Cred! riscount Rate (845) Other: $
Note:See Part W"Additional important information Page for Card Processing"in Section A.3 for early termination fees.
FeteCheckrvsc4?s,Inc.
PO,BOX 4514
F3asstm TX '7 10G45td E
' s 1-SDG35s-135f Set-Up Fees:
No.of Physical Locations 9 I st Location:g., O.00 Adcn Location(s): 5 0!;.30 ea. `total Set-Up Fee:$ GO
TeteGheck Monthly POS Support Fee:$ (per TerminaflPer&4onth. Tet€Check Equrp.OntYJ Total TeleGiaeds MonthlyPOS Support pport Fee:$
Chex :ALt 3 eleC#eack. ices That apply: 6 ECA Warranty i3 ECA Vefifreau n L3 ECA Verifeafion
or w I TRS Collections or Ci LockBox C]LockBox
0 Pager Warranty (20V) 0 Paper verification tNarrsnty Verifigtlon
Aver 3 Ch"T size
Tata€ army check I Call Jotume $ 3.O Q GO $ $ $ $
in}uir Rate 5.G5 % "t
%
Trans. son Fee $ n---..?5 $ $ $ $
Advar tge Billing $
One F to "g'n -
2r
Month Minimum Fee �s J Fl[;
Cusco; yr Request Operator Call 1 Voice Authorization Fee $ 2.50 $ $ $ $
Moms Processing 1 Statement Fee
Doccn or Risk,$urcharcqe }i0r3r ?T id rt 1 4
TRS C lectiortS z�r s �f sem rn se aane sePa72s�sawsand Shv &y z rl �
ectrve¢y Rate Sectm: Re vary Rat '"sac`uon .�i�wtt}1`,, �.'S4p'°'�„„�r.�„'tt'rr �`��'`� r��,��j rh,,�y�i•S.i'�,�"3_
Warras rmaximum 0Fare Arnko
y❑Or Fai1cae. `Amt.
no.fAuthorized item �£
or$ 25 000 OG Authorized Item
.i r
3or LRtit g,g:
E0Mt1h__S11
,
$ $ S $ $
Chect 4LL TeieCheck Services that a i Q Mail Order L7 Check Cashing CI ceck Cashing
PR N" is COD Warranty Warracntp Warranty Ver cation C9 C3thei
AYeray^ Check 5122
Total tl nthty Check I Call Volume $ $ $ $ $
Inquiry ate a
Ttansa an Fee $ $ $ $ $
Aduarst: e Billing $ $ $ $ $
One Ra {ffii,
Month} #iniaTtum Fee $ $ $ $ $
Custom Request Operator Call I Voice Authorization Fee $ $ $ $
Monthly recessing;Statement Fee $ $ $ $ $
Deeamt r Risk Burch urge
01'1,11
IA: %TRS Cc
"Ctt43?$ is sea TRS Sarwce zrrc.'
si' .W 72--y RaW n
Warrant CI Face Amt.of A Face f3rni.of See Section Z I of Cheek Cashir(ig) a �X' � _ } t;� ,' O Face Ami.of
Warrant Maximum A i-a ze6 f e f Author A L of
or$ or$ e r y Authorized Item
Warranty Addendum nit � � s r a
t42iCrt'F2 3r Ls3tSPG " t�,';t 5 t � �� � ,• i .a r ' � � a
- _ 5 $ $
See'reieCheck t TRS Agreement for definitirI and any additional fees.
Note:See SBCUID-4 1.3£"Damages"of the TeieCheck I TRS Agreement for early termination tees I liquidated damages,
Client Initials
Ftrl:k+lyF x-First DatarTelecheck To:Troy Crowe(16174300967) 12:40 02f24109GMT-05 Pg 06-06
F . pJill 1,11,1111111g ''I'lli:
DBA ame:TOydN QF h STLF E
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Your I tad Office l First/Lost Phone
Bill Tc dame:TOWN OF WESTL.AKE Contact Name:TROY Cl Number:(017)-490-5716
11
#LIM GE Cf E_,ST.292 Suite Cts' Bute: Trp: your Pax
L1rESTl_AKE TX 76262 Phare:
Tele :heCk Auto Settle Time: 9'90 Pt hh E3(Must be at least 9 hour after Gard Auto Sallie Time)
-----------------
Fundi ;Report; ❑BI To lU Location Delivery Method: O E-Pdaii 0 Fax Q US Mast frequency:O]$ AArmtlnlY D$ leek 0 hail
Goma- Mame: �
Contact Tefephrme f?:
Ronalax#; Report E-Mail Address:
Batch iosln Olchdns: 9.30,PM LOAM 0 IM Mt1st Close by 11:30 Ph(GST Format ClCsSV(E-Mail only) OPDF
Fundi, r O Per Bil l To 0 Per Location Fund BY: 0 Product O Terminal i"!a Location (3 Agan/ Ci Batch JJ
ACH Credits to Tek lChil ABA Transit#: Account#: G Gk
by Subscriber(For Invoice Payment
Same as afsove or 0 Same as above or
De Tele�Cmh=erk
ettlelttent)to Subscriber
ffb' dfor Fmnldng information: ABA Transit 1t; Accauszt s9: 7 Cir
specie Instructions which are part of this Agreement:
Please cote on separate funding check or bank letterhead the designated TeleCheck Service,A separate funding check or hank letterheadilogo for TeleCheck Services is
NOT rt Mand UNLESS Merchant will be using different banking account(s)for TeleCheck Services-
r c
& Rt - 0 ECA Ver€fscation vinic TR5 0 TRS for Warranty(Non-Comptonc e items) El TRS fincfuding Paper Verification)
f %of Item Arri Recovered Retained by TRS:18% %of Item All Recovered Retained by TRS:20% %of Item Amt,Recovered Retained by TRS:20%
Amt,of Return Item Fee Retained by'I`RS:100% Amt of Return Item Fee Retained by t1i tiro% Amt of Return Item Fee Retained by TRS:100%
fill Stop payment checks die to disputes over goods Or services trust be returned to Subscriber for resolution. Bank Ruth: 0 Yes 0 No Remittance Frequency Monthly
4
The sta ments made in this Merchant Processing Application and Agreement are true.Client acknowledges having received and read a copy of the Interchange Schedule(far card
process g services),Program Guide(which includes terms and conditions for each of the services,Operating Procedures,Third Pasty Agreements and a Confirmation Page), and
Mel Processing Application(consisting of Sections 1-13),as modified from time to time in accordance with the provisions of this Agreement and agrees to be bound by all
provisic >as printed therr±in Client hereby consents to retaeiving commercial electronic mail messages from tis from time to Time.Client further agrees that Client will not accept more
than 2O of its card transactions via met,telephone or internal czrdem.However,if your Application is approved based upon contrary information stated in the Provide More Business
Data se ion 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
qu"spm it Lease Agreement and the American Express!&Card Acceptance Agreement appearing in the Third Party Section of the Program Guide,if selected,the undersigned Client
,eing th Lessee°for purposes of such Equipment Lease Agreement and/or You and"Your for ihoo purposes of the American Express Card Acceptance Agreement,
Bysign g tallow,each of the undersigned authorizes us to request and obtain from a consumer reporting agency,personal and business consumer reports.If the Application is
approve each of the undersigned s#so authorizes us to obtain suhsequent consumer reports in connection with the maintenance,updating,renewal or extension of the Agreement.
Each of ie undersigned fu:thermoe agrees that all references, including banks and consumer reporting agencies,may release any and all personal and business credit financial
informs! n to us.It is our policy to obtain certain information in order to verity your Identify while processing your account application,
THIS MI RCHANT PROCESSING APPLICATION AND AGREEMENT HAS BEEN EXECUTED ON BEHALF OF AND BY THE AUTHORIZED MANAGEMENT OF CLIENT AS OF THE
EFFEC" IE BATE,
Client's ausi