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1 similar Processing Agreement contracts
AUTOMATED CLEARING HOUSE PROCESSING AGREEMENTProcessing Agreement • October 17th, 2019 • Arizona
Reseller’s Name:Farmigo CHECK COMMERCE USE ONLY BELOW: Merchant ID: Entered By: Date: I. MERCHANT INFORMATION: Federal Tax ID Number: State Tax ID Number: Business Name: DBA: Address: City: State: Zip Code: Telephone Number: Fax Number: Primary Email: Website Address: II. PRINCIPAL / INDIVIDUAL 1 Name: Title: % of Ownership: Driver’s License #: State: Address: City: State: Zip Code: Residence Phone: Social Security Number: Date of Birth: II. PRINCIPAL / INDIVIDUAL 2 Name: Title: % of Ownership: Driver’s License #: State: Address: City: State: Zip Code: Residence Phone: Social Security Number: Date of Birth: III. FEES Per Transaction / Per Settlement:$0.30 Per Return / Per Exception:$1.00 Discount Rate:1.00% Authentication Fee: Monthly Maintenance Fee:$0.00 Per Chargeback:$15.00 Application Fee:$0.00 Collections Service Fee: Quarterly Compliance Fee:$24.95 Early Termination Fee:$500.00 Proof of Authorization (POA) Fee:$10.00 Other: IV. RETURN THRESHOLDS [CHECK COMMERCE USE ONLY]
