MERCHANT  RECEIPT

 

APPLICATION FEE

(Non-Refundable)                                $__-0-__

 

 

 

LINK POINT API LEASE TERMS :

Equipment/Software __48__ months

 

LEASE PAYMENT*                     $_n/a_

 

 

*All leases subject to taxes, insurance and  approval by a leasing company. Equipment sales are the responsibility of Agent/Sales representative and not Cardservice International.  

 

 

 

 

 Purchase Price:                            $_399.00_

Link Point API  [including tax]         $_431.92_

 

 

METHOD OF PAYMENT: Visa/MC/Amex

 

CREDIT CARD NUMBER___________________

 

EXPIRATION DATE ______/________

 

 

   Name on Card                                                         

 

 

 

 

SERVICES

 

 

MONTHLY MINIMUM                            $15.00

 

 

  DISCOUNT RATE                                    2.39% 

( Non-qualified +1.95%)

 

 

TRANSACTION FEE                         $0.25

 

 

ADDRESS VERIFICATION  FEE                      

                                                                     $0.05

                                                            

 

MONTHLY CUSTOMER

SERVICE FEE                                            $10.00

 

 

MONTHLY GATEWAY                            $15.00  

* All lease options are through an independent leasing company (Integrated Leasing). The leasing company will review the signer's credit and is subject to a separate approval process. Also, all equipment purchase options are the responsibility of the Agent (Merchant Account Solutions Inc / Cardservice Texas) not Cardservice International.

 

___________________________________________

Company Name

 

X__________________________________________        __C. Taylor___________________

Merchant Signature                                      Date                         Account Representative Signature

                                                                                                 CardService International
                                                                                                 450 N. Sam Houston Pkwy., Ste.273
                                                                                                 Houston, TX. 77060