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Biller Order Form <br />INVOICE PARAMETERS <br />Ilinvoice <br />Rai airoa^R.ei s 111W'St r u7o i npleted faui .-aclu lnwokv tyj ie <br />Invoice Type <br />Utility Bill (Invoice) <br />ry <br />Biller Software <br />Systems and Software <br />.. y MT~ <br />n�. <br />� <br />Peeing Model Non Subrnrtter <br />❑ EBPPP ❑ Cloud Store <br />_ _. <br />(,D Cloud Pay ❑Kiosk ® IVR <br />._..... Outbound IVR <br />Products <br />ElSingle Sign -On ❑ Bill Processor <br />❑ POSConnect El CSRConnect <br />® OBD <br />Please indicate which months bills are sent by placing the bill count for each month below <br />Jan <br />Feb Mar <br />Apr <br />May <br />June <br />Jul <br />Aug <br />Sep <br />Oct <br />Nov Dec <br />41000 <br />1000 <br />41000 4... .. ........... <br />41000 <br />41000 <br />m..... _.... <br />41000 <br />m ..... <br />41000 <br />� <br />41000 <br />....-- __�....,_... <br />41000 <br />......... <br />41000 <br />... ..... � <br />41000 41000 <br />.w..4 <br />Avg Invoice $98 00 ........ _ <br />Max Invoice $ <br />C400 QO mm, Bill Frequency Monthly^ <br />BPM k... r�d000„ <br />.......... ��__._. <br />PRINTED BILLS <br />Bill Mailing Dates <br />1st 10th <br />® 11th 20th 0 21st 31at <br />Imageplate <br />BillBill <br />) (Biller <br />Biller Print Vendor ❑ Software Partner <br />Print Vendor <br />Infosenr... <br />.�.� ......... <br />Contact Phone <br />............. <br />m ... <br />_ .. . <br />�.....��... <br />.............................. .. ------- —---- <br />HARDWARE <br />..... <br />_....... .. . <br />T e <br />YP <br />Card ReaderType...... <br />Swl e Only <br />p .. <br />anti <br />� Cost Per Reader � ta1 olr <br />Card Reader <br />IDTech SREDKe y <br />..... <br />Provided By <br />........_. ... <br />Kiosk Type <br />Quantity <br />.. <br />Txn Min <br />Shipping Addr. <br />Standard/In-Door <br />0 <br />750 <br />(if differernt than <br />Thru Wall .„� <br />0 <br />800 <br />location address) <br />. .... .............................. <br />.. ..............�.......,........ <br />....,. <br />Outdoor Model <br />0 <br />850 <br />CREDIT CARD FEES BREAKDOWN ( CHASE NON-SUBMITTER) <br />Note: Intercdruncye, fees, and ma���ssa.ssroaaent� are billed da Chase, Per ttern Rate and Basis Aa i <br />............... .. y m z� ora. dtffa$ad dry 9alaaraare ¢.:'daaacad <br />Model Per Item Rate Basis Points <br />.... . ......... ­­,", . ..... ... . ......... —L .. 11 , <br />m.E] a <br />❑ Interchange Fees due assessments processing + + <br />Flat Fee per Item, Fees, Due Assessments, processing + $1.80 + .e <br />MAX PAYMENT CAP <br />CC Max $1 000 00 y ACH Max <br />.................. <br />W..�W.�..... .._.��_... ........... ..._.. .._..... .,._n...rr,�,...rrrrrr.... ......................,....... ...... .,...�. ,,,.,.......... <br />BILLER DEPOSITORY BANK INFO <br />Note: h4ust dan duade vod dead bustnc5s cloaca or dsaank detmte fo e*aaccda unique account <br />gaunt <br />Routing # 071212128 Last 4 Acct # �0820 - ------ „TmT <br />....... <br />NOTES/SPECIAL HANDLING <br />This is an S&S and Enquesta Implementation. Stan Harris will be your main point of contact. <br />v4, 2 <br />