ERAD-RECOVERY AGREEMENT FOR SRLEEA MEMBERS

This ERAD-Recovery Agreement is made between ERAD Group, Inc. ("EGI") and *

Agency will use EGI’s ERAD-Recovery software (“Product”) to access the client processing service described herein (“Payment Processing Service”) in order to: (i) determine relevant issuer and processor information from prepaid access devices and other payment cards; (ii)identify the monetary amount of funds stored on prepaid access cards and other prepaid access devices; and (iii) freeze and seize funds on prepaid access cards, prepaid access devices, and debit cards for subsequent deposit to an authorized depository account owned and controlled by Agency.

This Agreement is effective as of , "Agreement Effective Date", and shall remain in effect for an initial period of One 1 year “Initial Period” After the Initial Period, this Agreement shall be extended automatically for successive One 1 year periods each a “Renewal Term” Either party may terminate this Agreement as of the end of the then-current term by giving written notice at least ninety 90 days prior to the end of the then-current term. The Initial Term and all Renewal Terms shall be referred to as the “Term. *

Date

Agency shall pay EGI the following fees:

EGI Pass-Through Fees Agency must pay any fees, anticipated returns, fines or other third party charges associated with use of the Product (collectively, “Pass-Through Fees”), including, chargeback fees, retrievals and fines.

Fees.
Agency shall pay EGI the following fees:

Annual Enterprise License for 5 Users and 5 USB Readers. $828.00
Prepaid Card Seizure Processing Up to $5,000.00 Per Year. Included
Additional Prepaid Card Seizure Fee - 6% of Seizure Amount

Agency must pay any fees, anticipated returns, fines or other third party charges associated with use of the Product (collectively, "Pass-Through Fees"), including chargeback feed, retrievals and fines.

Payment Processing Service. Agency shall use the Product to access the Payment Processing Service.

Exclusivity. EGI shall be the sole and exclusive provider of the Payment Processing Service to Agency and its affiliates, and neither Agency nor any of its affiliates shall engage a third party to provide the same or similar service, nor shall Agency provide same on its own behalf.

By signing below, you agree to the terms of this Agreement and the ERAD Agreement General Terms & Conditions version 2.1 incorporated herein by reference.

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Telephone *

Subscription Payment *

ERAD-Recovery Annual Subscription - SRLEEA ERAD Annual Recurring Subscription

$ 828.00

ERAD-Recovery Monthly Subscription - SRLEEA ERAD Monthly Recurring Subscription

$ 69.00

Total

$ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Name *

First Name Last Name

Title *

Title

Sworn Officers *

I confirm that my Agency has fewer than 25 Sworn Officers

Signature *

Clear

Signed Date *

Signed Date