ACH Form

Associate: Chain: DDA #: MCC Code: Date Rec’d: MERCHANT ACH AMENDMENT MID 11868215 DBA: EDAJA LIMO FUNDS TRANSFER INSTRUCTIONS Method of Transfer of Proceeds of SALES: Type of Bank Account: MERCHANT desires to effect settlement of credits and debits from... More

Associate: Chain: DDA #: MCC Code: Date Rec’d: MERCHANT ACH AMENDMENT MID 11868215 DBA: EDAJA LIMO FUNDS TRANSFER INSTRUCTIONS Method of Transfer of Proceeds of SALES: Type of Bank Account: MERCHANT desires to effect settlement of credits and debits from the MERCHANT ACCOUNT by means of ACH and/or wire transfer in conjunction with the processing of credit SALES transactions, all pursuant to the terms and conditions set forth in the AGREEMENT between MERCHANT, RPS and MEMBER. All capitalized terms used herein shall have the definitions set out in the AGREEMENT. In accordance with this desire, MERCHANT authorizes MEMBER, RPS and their vendors and agents to initiate ACH debit and credit entries from and to the MERCHANT ACCOUNT (the details of which are set out below). This authorization extends to payments for SALES, as well as any amounts owed by MERCHANT to RPS, an RPS affiliate or vendor, and/or MEMBER, including, but not limited to, fees, returns, chargebacks, and amounts owed for Less