P.O. Box 246, Alpharetta, GA

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5 PPS1409(ia) PROCESSOR INFORMATION: Name: Priority Payment Systems Address: P.O. Box 246, Alpharetta, GA URL: Customer Service #: Please read the Program Guide in its entirety. It describes the terms under which we will provide merchant processing Services to you. From time to time you may have questions regarding the contents of your Agreement with Bank and/or Processor. The following information summarizes portions of your Agreement in order to assist you in answering some of the questions we are most commonly asked. 1. Your Discount Rates are assessed on transactions that qualify for certain reduced interchange rates imposed by MasterCard and Visa. Any transac tions that fail to qualify for these reduced rates will be charged an additional fee (see Section 18 of the Pro gram Guide). 2. We may debit your bank account from time to time for amounts owed to us under the Agreement. 3. There are many reasons why a Chargeback may occur. When they occur we will debit your settlement funds or settlement account. For a more detailed dis - cussion regarding Chargebacks see Section 10 of Card Process ing Operating Guide. 4. If you dispute any charge or funding, you must notify us within 60 days of the date of the statement where the charge or funding appears for Card Pro cess ing. 5. The Agreement limits our liability to you. For a detailed descrip tion of the limitation of liability see Section 20 of the Card Processing General Terms. 6. We have assumed certain risks by agreeing to provide you with Card processing or check services. Accordingly, we may take certain actions to mitigate our risk, including termination of the Agreement, and/or hold monies otherwise payable to you (see Card Processing General Terms in Section 23, Term; Events of Default and Section 24, Reserve Account; Security Interest), under cer tain circumstances. 7. By executing this Agreement with us you are authorizing us and our Affiliates to obtain financial and credit information regarding your busi ness and the signers and guar antors of the Agreement until all your obliga tions to us and our Affiliates are satisfied. 8. The Agreement contains a provision that in the event you termi nate the Agree ment early, you will be responsible for the payment of an early termi - nation fee as set forth in Part III, A.3 under Additional Fee Infor mation. 9. If you lease equipment from Processor, it is important that you review Section 1 in Third Party Agreements. Bank is not a party to this Agreement. THIS IS A NON-CANCEL ABLE LEASE FOR THE FULL TERM INDICATED. 10. For questions regarding your Merchant Processing Application and Agreement, please contact Customer Service at , and / or refer to Important Phone Numbers on the Additional Impor tant Information Page, Part III, Section A Card Organization Disclosure Visa and MasterCard Member Bank Information: Wells Fargo Bank N.A. The Bank s mailing address is 1200 Montego Way, Walnut Creek, CA 94598, and its phone number is (925) Important Member Bank Responsibilities: a) The Bank is the only entity approved to extend acceptance of Card Organization products directly to a Merchant. b) The Bank must be a principal (signer) to the Merchant Agreement. c) The Bank is responsible for educating Merchants on pertinent Visa and MasterCard rules with which Merchants must comply; but this information may be provided to you by Processor. d) The Bank is responsible for and must provide settlement funds to the Merchant. e) The Bank is responsible for all funds held in reserve that are derived from settlement. Important Merchant Responsibilities: a) Ensure compliance with Cardholder data security and storage requirements. b) Maintain fraud and Chargebacks below Card Organization thresholds. c) Review and understand the terms of the Merchant Agreement. d) Comply with Card Organization rules. e) Retain a signed copy of this Disclosure Page. f) You may download Visa Regulations from Visa s website at: g) You may download MasterCard Regulations from MasterCard s website at: Print Client s Business Legal Name: By its signature below, Client acknowledges that it has received (either in person, by facsimile, or by electronic transmission) the complete Program Guide [version PPS1409(ia)] con sist ing of 35 pages (including this confirmation). Client further acknowledges reading and agreeing to all terms in the Program Guide, which shall be incorporated into Client s Agree ment. Upon receipt of a signed facsimile or original of this Confirmation Page by us, Client s Application will be processed. Client understands that a copy of the Program Guide is also available for downloading from the Internet at: NO ALTERATIONS OR STRIKE-OUTS TO THE PROGRAM GUIDE WILL BE ACCEPTED. Client s Business Principal: Signature (Please sign below): X Title Date Please Print Name of Signer PPS1409(ia) 35

6 First Data Global Leasing 4000 Coral Ridge Drive Coral Springs, FL (877) Merchant ID Sales Rep. Name EQUIPMENT LEASE AGREEMENT Sales ID MERCHANT INFORMATION Corporate Business Name DBA Name Business Address City County State Zip Code Business Phone Number Business Type Type of Business Years in Business CORPORATION Billing Address (if different than above) City State Zip Code PARTNERSHIP PROPRIETORSHIP Bank Name Routing Number Account Number (Provide copy of Void Check) NON-PROFIT EQUIPMENT SUPPLIER First Data Merchant Services Corp Walt Whitman Road Melville, New York DESCRIPTION OF LEASED EQUIPMENT Equipment Type Quantity Unit price without tax $ $ $ Payable at Lease Signing (amounts include tax) Advance Payments $ Security Deposit $ $ TOTAL $ SCHEDULE OF PAYMENTS Additional Monthly Charges: Term. Maintenance Fees: $ $ *All charges subject to applicable tax Lease Term: (in months) Monthly Lease Charge: $ (total unit price without tax) PLUS additional monthly charges: $ Total Monthly Charges:* $ LEASE ACCEPTANCE Undersigned agrees to all terms and conditions contained in this Equipment Lease Agreement. Lessee authorizes First Data Merchant Services Corp. or its agents, to request and obtain from a consumer reporting agency personal and business consumer reports. If the Application is approved, each of the undersigned authorizes us to obtain subse quent consumer reports in connection with the maintenance, updating, renewal or extension of the Agreement. Each of the undersigned furthermore agrees that all references, including banks and consumer reporting agencies, may release any and all personal and business credit financial information to us. THIS IS A NON-CANCELABLE LEASE FOR THE FULL TERM INDICATED HEREIN. X Lessee Signature Title Print Name Date PERSONAL GUARANTY Undersigned unconditionally guarantees performance of this Equipment Lease Agreement by Lessee and payment of all sums due hereunder in the event of default, hereby waiving any modification, amendment or extension and notice thereof, and further agrees to the terms of this Equipment Lease Agreement insofar as they apply to the undersigned as guarantor. X, an Individual Personal Guarantor s Signature (No Title Allowed) Print Name Home Phone Number Date Home Address City State Zip Code Social Security # DO NOT WRITE IN THIS SPACE Lessor Acceptance: Name (please print or type) Title Signature Date This Equipment Lease Agreement ( Agreement ) is being entered into by and between First Data Merchant Services Corporation and the Lessee identified in the signature panel of this Agreement. In this Agreement, the words we, our and us refer to First Data Merchant Services Corporation and its successors and assigns and the words you and your refer to Lessee and its permitted successors and assigns. Lessee hereby authorizes us or our designees, successors or assigns (hereinafter Lessor ) to withdraw any amounts including any and all sales taxes now due or hereinafter imposed, owed by Lessee in conjunction with this Equipment Lease Agreement by initiating debit entries to Lessee s account at the bank named above (hereinafter Bank ), or such other bank as the Lessee may from time to time use. In the event of default of Lessee s obligation hereunder, Lessee authorizes debit of its account for the full amount due under this Agreement. Further, Lessee authorizes Bank to accept and to charge any debit entries initiated by Lessor to Lessee s account. In the event that Lessor withdraws funds erroneously from Lessee s account, Lessee authorizes Lessor to credit Lessee s account for an amount not to exceed the original amount of the debit. This authorization is to remain in full force and effect until Lessor and Bank have received written notice from Lessee of its termination in such time and in such manner as to afford Lessor and Bank a reasonable opportunity to act 42FD0333 X GenALeaseAgr1309(ia)

7 ** Completion of all fields is required. Denote N/A if necessary Exhibit D Delivery and Acknowledgement Form Relationship code Quote or App number Merchant Number Sales Rep Principal/Principal Guarantor Name: Merchant Business phone Merchant Contact Phone Term Payment Total # of assets Equipment Description Merchant Name Location of Equipment: Street address County City State Zip Equipment information: Make/model Serial Number Delivery Date Make/model Serial Number Delivery Date Make/model Serial Number Delivery Date You will receive a welcome letter by mail detailing your first payment due date Payments are collected via ACH debit each month. You will not receive a monthly bill A one-time interim rent charge will be assessed for each day from the day you received the equipment to the first payment date By your signature on this document, it confirms that you have received the equipment and that you are accepting the terms - We will activate your lease I HEREBY CERTIFY THAT: Merchant initials required and clear legible driver license, state ID or passport required The equipment I have requested to lease has been delivered to my business location I have received a copy of my Equipment Lease Agreement I have read and understand the terms and conditions of the Equipment Lease Agreement I understand that this lease is NON-CANCELABLE for the full term My business lease payments will be automatically deducted from my designated business checking account on the same day each month during the term of the equipment lease I agree to the total number of pieces of equipment contained within the Equipment Lease Agreement Lessee Signature Title Acknowledgment Date ** Please note that FDGL reserves the right to perform verbal verification calls at our discretion for quality assurance purposes.

8 PLACEMENT AGREEMENT EMV Terminal Placement Quiet, fast thermal printer with rear placement to maximize user interface area - Large 128 x128 display with increased resolution - Large, well-place, blue backlit keys - Vertical mag-strip reader with contoured blade for optimal card reading EMV Terminal Apple Pay Owner s or Officer s Signature Date Account Executive Signature Date