MERCHANT RECEIPT
MERCHANT RECEIPT
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APPLICATION FEE (Non-Refundable) $__-0-__
LINK POINT or ECLIPSE LEASE TERMS - Equipment/Software __48__ months
LEASE PAYMENT* $_29.90_
*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 AMOUNT $_-0-___ (Tax Included)
TOTAL COLLECTED $_29.90_
METHOD OF PAYMENT: Visa/MC/Amex
CREDIT CARD NUMBER___________________
EXPIRATION DATE ______/________
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SERVICES
MONTHLY MINIMUM $15.00
DISCOUNT RATE ( Qualified) 1.69% (Mid-qualified +0.95% ) ( Non-qualified +1.95%)
TRANSACTION FEE $0.25
ADDRESS VERIFICATION FEE $0.05
MONTHLY CUSTOMER SERVICE FEE $10.00
DEBIT CARD TRANSACTIONS: $_0.25_ Plus Debit Network Processing Fees
CardService Merchant Club $ 15.00 |
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* 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 |
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