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Card Processing Proposal For - Borsheim's Retail - 11  By  Sales Representative 366
3/20/2007
 
I. Merchant Business Information
Contact First Name (Owner) Contact Last Name (Owner)
Email
    Country State
DBA Name of Business Business Telephone Number - - Business Address

City State Zip
Business Status:
 Are you able to Terminate your Merchant Agreement with No Early Termination Fees?
Year established
Business Description SIC Code:  Credit rating
Description of products or services offered to consumers:
II. Merchants Reason for Looking for a New Merchant Account ( 8 is the highest possible ranking for any one category / Number can not be duplicated)
Terminal/ Software Problems Difficult to Read / Reconcile Merchant Statement Require a More Competitive Rate Funding Delays Poor Customer & Technical Service Difficult to Balance Daily Reports System Uptime & Reliability are Issues
III. Current & Future Credit Card Needs for Merchant
  Visa & MasterCard American Express PIN Based Debit Discover Diners JCB Electronic Checks Gift Cards Electronic Benefit (EBT)
Do you Currently Accept:
Do You Wish to Accept:
IV. Merchant Credit Card Information
  Consumer Classic Cards CheckCards Consumer Classic Rewards /World Cards Check Card Rewards /World Cards Total Cards PIN Debit American Express Discover Check
Total Monthly "Sales" Volume (VP) $ $ $ $ $ $ $ $ $
Average Ticket Size(AT) $ $ $ $ $ $ $ $ $
Total Monthly  (TM) "Transaction" Volume $ $ $ $ $ $ $ $ $
Monthly Dollar Volume that will downgrade to "Partial Qualified"(VPQ) $ $ $ $ $        
Monthly Dollar Volume that will downgrade to "Non Qualified"(VNQ) $ $ $ $ $        
Percentage Returns / Exchanges / Credits(PR) % Chargeback Percentage %        
Total Number of ARU Authorizations Inquiries for Visa & M.C - Consumer Credit- (CP) Enter What is the Total Number of ARU Authorizations Inquiries for Visa & M.C. - Check Cards (Signature Debit)
V. Merchant Equipment, Software and Sales Information
What percentage of cards are physically present at time of sale? % What percentage of transaction are generated from Mail & Telephone? % What percentage of transaction are generated from the Internet? %
What type of point of sale equipment are you currently using?      
What level of security is/will be used? Check all that apply.    
What type of Point Sale Device do you use?
 What is the name of the software you use? 
VI. Proposed Fees Based upon Information Provided
Standard Subscriber Bidding Template
Bundled Rate
  Qualified Rate Standard Mark Up on Mid Qualified Transaction Standard Mark Up on Non Qualified Transaction
Rate Settled Per Item Rate Settled Per Item Rate Settled Per Item
Visa / MasterCard - Credit Cards % $ % $ % $
Visa / MasterCard - Signature Debit Cards % $ % $ % $
Visa / MasterCard - Consumer Classic Rewards / World Cards % $ % $ % $
Visa / MasterCard - Check Card Rewards / World Cards % $ % $ % $
Interchange Pass Through
  Rate Settled Per Item Rate Settled Per Item Rate Settled Per Item
Visa / MasterCard - Credit Cards % $ % $ % $
Visa / MasterCard - Signature Debit Cards % $ % $ % $
Visa / MasterCard - Consumer Classic Rewards / World Cards % $ % $ % $
Visa / MasterCard - Check Card Rewards / World Cards % $ % $ % $
Other Fees Other Fees Continued
Application Fee $ One Time Fee Return Item Fee $   Per Occurance
Installation / Training $ One Time Fee Other / Misc.I $   Per Occurance
Statement Fee $ Per Month Other / Misc.II $   Per Occurance
Customer Service Fee $ Per Month Authorization Fees (Per Inquiry)
Minimum Discount $ Per Month Visa $
Membership Fee $ (Annual Fee) Master Card $
ACH $ Per Occurance American Express $
Reporting $ Per Month Discover $
Batch Settlement $ Per Occurnace EBT $
Pin Debit Setup $ One Time Fee Dinner Club $
Pin Debit Statement $ Per Month JCB $
Retrieval Processing $ Per Occurance Pin Debit $
Chargeback Processing $ Per Occurnace Voice Auth (Touch Tone) $
Account Changes & Maintenance $ Per Occurnace Voice Auth (Operated Assisted) $
VII. American Express, Discover, Diners Proposed Fees to Merchant
  Rate Settled Per Item        
American Express % $ MemberShip Fee $ Per Month Monthly Fee $
Discover % $ MemberShip Fee $ Per Month Monthly Fee $
Diners % $ MemberShip Fee $ Per Month Monthly Fee $
VIII. Estimated Monthly Expenses for Credit Card Processing Service
Estimated Monthly Expense (Excludes - American Express, Discover, Diners, & Equipment) Bid Ranking Feedback Overall Rating
IX. Subscriber Feedback Forum Survey Results ( 8 is the highest possible ranking for any one category)
Terminal/ Software Problems Difficult to Read / Reconcile Merchant Statement Require a More Competitive Rate Funding Delays Poor Customer & Technical Service Difficult to Balance Daily Reports System Uptime & Reliability are Issues
X. Sales Representative Information
Business Name Phone -- First Name Last Name
email Address City State
Zip Is the above company a registered ISO / MSP?
If no, who is the registered ISO / MSP Who are the sponsoring financial institution(s) for the MSP / ISO? KeyCorp -OH
XI. Sales Representative Processing Information
Who is your primary settlement bank?
 Who is your primary authorization provider?
Who is your primary settlement processor?
 Who provides customer support services?
What percentage of all chargebacks are handled without merchant involvement? % What percentage of chargebacks are reversed back to the issuing bank on the 1st attempt? %
Are merchant processing fees & discount (Normally) deducted a month end?
Are processing expenses (Normally) calcualted on gross credit card volume?
How do merchants (Normally) receive retrieval requests?
What is the Term of your Merchant Agreement? What is the early termination fee $
XII. Features & Benefits (Information will be shared with Merchants)
 
 
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