APPLICATION CHECKLIST

PLEASE FAX THE FOLLOWING:

¨         CHECK OR CREDIT CARD MADE PAYABLE TO  "CARDSERVICE"  IN THE AMOUNT OF   $______

¨               VOIDED BUSINESS CHECK (TEMP CHECKS ARE OK)

¨               COPY OF YOUR DRIVERS LICENSE (SIGNATURE LINE)

¨               SUPPORTING MATERIAL WILL EXPEDITE APPROVAL.

¨               COPY OF BROCHURES

¨               ADVERTISING

¨               MARKETING MATERIAL

¨               PICTURES OF SIGN, INVENTORY, OFFICE, ETC.

¨               INTERNET WEB ADDRESS AND COPY OF PAGE

¨               WEB ADDRESS _________________________________

¨               E-MAIL  ________________________________________

Please fax in and send the signed paperwork with above-mentioned supporting material priority to:

CARDSERVICE INTERNATIONAL

450 N. SAM HOUSTON PARKWAY # 273