Request for Expanded Credit-Return Capabilities

Request and Acceptance. The company listed below (“Merchant”) hereby requests that Authorize.Net Corp. (“Authorize.Net”) enable Merchant’s gateway account to allow Merchant to credit a consumer’s credit card or bank account regardless of the amount of the credit and regardless of whether a previous debit had ever been made to such credit card or bank account via the Authorize.Net Payment Gateway (the “Expanded Credit-Return Capabilities”) for the length of time specified in the signature box below. By signing and submitting this Request for Expanded Credit-Return Capabilities (the “Request”), Merchant is only requesting to receive the Expanded Credit-Return Capabilities. Authorize.Net reserves the right to accept or reject any Request for any reason at its sole discretion. Authorize.Net typically will accept or deny a Request within two (2) business days of the receipt of a completed and signed Request, and notify Merchant of its decision. Acknowledgement and Assumption of Risk. Merchant acknowledges that when enabled for the Expanded Credit-Return Capabilities, all credit transactions processed through the merchant’s Payment Gateway account will bypass the referential checks in Authorize.Net’s Credit-Return feature and anyone with access to Merchant’s gateway account will be able to issue credits to consumer credit cards or bank accounts without the following limitations that have been placed on other Authorize.Net merchant gateway accounts: (1) credits may only be issued with a valid Authorize.Net transaction ID against a transaction settled through the merchant’s Authorize.Net account to the same credit card type and number or bank account as the original debit transaction, and (2) the sum of all credits issued cannot exceed the amount of the original debit transaction. Merchant acknowledges that there are risks associated with the activation and use of the Expanded Credit-Return Capabilities, including, but not limited to, fraud, and Merchant expressly assumes all risks, pursuant to the terms of the Merchant’s agreement with Authorize.Net regarding use of the Authorize.Net Services (the “Agreement”). Termination. Unless earlier terminated as described herein, Merchant’s right to use the Expanded Credit-Return Capabilities, if and when Authorize.Net approves this Request, shall terminate the number of days specified following the date that Authorize.Net activates the Expanded Credit-Return Capabilities for Merchant. Authorize.Net may terminate Merchant’s right to use the Expanded Credit-Return Capabilities pursuant to the terms of the Agreement. Merchant may request that Authorize.Net disable the Expanded Credit-Return Capabilities by providing the Authorize.Net Finance Department with a written termination request. In this event, Authorize.Net will use commercially reasonable efforts to implement a termination request as soon as practicable. Please note that Expanded Credit Capabilities are available only to merchants that submit credits via the following methods. From within the Merchant Interface: The Virtual Terminal and Upload Transaction File features. From outside the Merchant Interface: Advanced Integration Method (AIM) with transaction key and Simple Integration Method (SIM). In witness whereof, Merchant has read and agreed to all the terms and conditions of this Request for Expanded Credit-Return Capabilities and hereby agrees thereto by the signature of its duly authorized representative.
MERCHANT: Print Company Name: _______________________________ Payment Gateway ID: ________________________________ Principal’s SSN or Company’s Tax ID#: ________________ Company Address: ___________________________________________________ ___________________________________________________ Company Phone Number: ____________________________ Length of time Merchant requests activation of the Expanded Credit-Return Capabilities (choose between 1 and 365 days or check Indefinite): ____ days  Indefinite (ACCOUNT OWNER/ACCOUNT ADMINISTRATOR): Print Name: ______________________________________ Title: ____________________________________________ Phone Number and Address (if different from Company): Phone Number: ___________________________________ Address: _________________________________________ _________________________________________________ Account Owner E-mail: ____________________________ Date: ____________________________________________ Signature: ________________________________________

Instructions: Print out and fax or mail the completed and signed original Request for Expanded Credit-Return Capabilities to: Finance Department, Authorize.Net Corp., 915 South 500 East, Suite 200, American Fork, Utah 84003; 801-818-3312 (fax).
Last revised: 5/15/2006 © 2006 Authorize.Net Corp