SegPayEU_IPSPServiceAgreement
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Document Sample


Service Agreement for SegPayEU™
This Service Agreement for SegPay is made by and between Segregated Payments, Ltd, doing
business as Segregated Payments ("SegPayEU") and ______________, a __________
corporation, (the "Client").
SegPayEU operates and performs its Service in conjunction with its Strategic Partner,
CommereGate.
In consideration of the mutual covenants herein contained and intending to be legally bound by
the provisions of this Agreement, the parties agree as follows:
1. Retention and Engagement:
Subject to the terms and conditions set forth below, Client engages SegPay to provide
merchant account services and reporting through its Internet Website. Both parties to
this Service Agreement agree that the terms outlined here are reasonable and agreeable.
This entire Agreement and the stated SegPay’s duties herein are subject to termination by
either party at any time without cause, upon ninety (90) days) days written notice, at
either parties’ sole discretion, subject to the additional provisions of Section 22 of this
Agreement.
2. Description of Services
SegPay will provide to Client and Client will purchase from SegPay the SegPay service (the
"Service"). SegPay service is an electronic billing and payment service which allows Client
to accept payment for their services over the Internet via one or more of the following:
via credit cards, debit cards, or online checks. As part of the Service, SegPay also provides
the Client with access to the SegPay Management System (SMS), which allows the Client
to track sales and make certain administrative changes to its account(s) on-line.
3. Definitions:
The following terms are defined for use in this Agreement:
"Agreement" means this Service Agreement for the SegPay service.
"Client" means the individual or business entity that agrees to these terms and conditions
and intends to use SegPay service to sell access to its services.
"End-User" means any person desiring to purchase access to the Client's services via
SegPay.
"Chargeback" means an End-User charge via the SegPay credit card service which the
End-User's credit card issuer identifies as being invalid or non-collectible after initial
acceptance on account of fraud, lost, canceled, unissued, or invalid account identification,
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an unresolved End-User complaint, or other cause which results in the deduction of the
End-User charge from monies otherwise payable to SegPay. "Holdback" or “Delayed
Funds” means funds withheld from client sales in order to cover Chargebacks, Returns,
Refunds, Card Association fees, indemnification obligations, or any other fees assessed
herein.
"Proof of Purchase" means an authentication provided to End-User by SegPay for use as
an access device to Client's services.
"Refund" means an End-User Charge via the Service which SegPay, the Client, or the End-
User and SegPay, or the End-User and Client identify as being invalid or non-collectible
after initial acceptance on account of fraud, lost, canceled, unissued, invalid account
identification, an unresolved End-User complaint, or other cause which results in the
deduction of the End-User Charge from moneys otherwise payable to SegPay.
“Return" means a customer charge via on-line check which the customer's bank identifies
as being invalid or non-collectible after initial acceptance on account of fraud, lost,
canceled, unissued or invalid account identification, an unresolved customer complaint,
or other cause which results in the deduction of the customer charge from monies
otherwise payable to SegPay.
"Service" means SegPay’s electronic billing and payment services and any related
products and services.
"Software" means software and related documentation provided by SegPay to Client in
connection with the Service.
"Total Revenue" means Client's revenues for credit card services provided before the
deduction of applicable Delayed Funds, service fees, and any other charges or obligations.
4. Fees and Delayed Funds:
4.1 Fees for SegPay Credit Card are equal to a percentage of Client's Total Revenues for the
SegPay Credit Card Service after the deduction of End-User Refunds. The applicable
service fee percentage is based on the Client's Total Revenue Commitment for SegPay
Credit Card and Check Services during the billing period (billing period is based on the
actual number of days in the month).
Billing Period Commitment Volume Rate Authorization fee
Under $10k 14.85% 25c
$10k- 25k 13.85% 25c
$25k – 50k 12.85% 25c
$50k- 100k 11.85% 25c
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Over $100k 10.85% 25c
4.2 Fees for Credit Card Services Chargebacks. Client shall be charged $25.00 per valid
Chargeback processed against Client's account. Fees assessed against Client hereunder, if
any, shall be applied in the month immediately following the month in which the
Chargebacks were processed.
4.3 Fees for Credit Card Services Refunds. Client shall be charged $1.00 per Refund issued
against Client's account. The Refund Fee may be increased in SegPay's reasonable
discretion with thirty (30) days prior written notice given to the Client.
4.4 Fees for Credit Card Services Imposed By Card Association. Client shall be responsible for
any fees imposed upon SegPay related to processing Client's credit card transactions.
4.5 Fees for SegPay Online Checks. The service fee for SegPay Checks is 15% of the Client's
Total Revenues after the deduction of End-User Refunds.
4.6 Holdback for SegPay Credit Card Service and Online Check Service. SegPay will withhold
10% of Client's Total Revenues for SegPay Credit Card and Online Check Service for a
period of six months and then released in weekly increments starting on the seventh
months as Delayed Funds to cover Chargebacks and Refunds for SegPay Credit Card and
Online Check service. SegPay shall have the right, in its sole discretion, on at least thirty
(30) days written notice, to adjust the amount held and holdback period as is deemed
necessary as security against future End-User Chargebacks, Refunds Fees, or any other
obligations incurred hereunder.
4.7 Debit Payment Processing.
a. Fees for SegPay Debit Payment Processing are equal to Fifteen Percent (15%) of Client’s
Total Revenues for SegPay Debit Payment Processing services after the deduction of End-
User Reversals. End-User Reversal is defined as when a transaction is reversed PRIOR to it
leaving the Webbilling system to the bank. SegPay will withhold Ten Percent (10%) of
Client’s Total Revenues on Debit Payment Processing for a period of six (6) months and
then release those funds in weekly increments as Delayed Funds to cover Chargebacks
and Refunds. SegPay will process payments to Clients two weeks in arrears.
b. Transaction fees for Debit Payment Processing are as follows:
Austria Germany Great Britain Spain The Netherlands
Transaction fee 0,10 € 0,10 € 0,29 £ 0,30 € 0,10 €
Fraud Prevention Fee
0,38 € 0,38 € 0,33 £ 0,38 € 0,35 €
(Applied to Signups Only)
Chargeback Fee 8,50 € 8,50 € 5,15 £ 8,50 € 8,50 €
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Credits Fee 2,00 € 2,00 € 3,00 £ 3,00 € 2,00 €
Clients shall be charged a transaction fee on all transactions, both initial sign-ups and
rebills. Fraud Prevention Fees are charged only on initial sign-up transactions.
5. Payment to Client:
5.1 Payouts. Client payouts are calculated weekly based on activity from Tuesday through
Monday. SegPay will process payments to Client two weeks in arrears. The payment due
the Client is equal to the sum of Client's Total Revenues during the specified time period
along with any Holdback Funds due to be released, LESS (i) the sum of all End-User
Chargebacks, and any Chargeback Fees processed during the period, (ii) the sum of all
End-User Refunds and any Refund fees processed during the period, (iii) the applicable
service fee, and (iv) all taxes, penalties, charges and any other items reimbursable
hereunder.
5.2 Payment Minimum, Stop Payments. Client payments shall only be made at the end of a
payment period where the payment due to the Client is in excess of $150.00. If the
payment due to the Client at the end of a payment period is less than $150.00, then
payment to the Client shall be held over to the end of succeeding payment periods until
such time as the accumulation of Client's payments equal or exceed $150.00.
5.3 Payments through Inteca. International Electronic Commerce Association, (“Inteca”) is a
non-profit association comprised of e-commerce companies and professional service
providers formed with the aim of promoting the industry and offering a variety of services
to merchants, organizations and other interested parties in international electronic
commerce. SegPay, through Toccata, Inc., has entered into an agreement for Inteca, as an
entrusted third party payment program, to make payments to clients for a transmittal
fee.
Inteca will charge $25.00 against Client's account for each transmittal fee. Deposits will
not be made if the amount due is less than $150.00. Any outstanding balances not
credited to Client shall roll over to Client's next billing cycle. Client authorizes Inteca to
deposit amounts owed Client by initiating credit entries to Client's financial institution
indicated on the form submitted to Inteca. Client further authorizes Client's financial
institution to accept and credit any entries indicated by Inteca to Client's account.
5.4 General Conditions. Payment to Client or Owner only. SegPay and Inteca will only direct
payments to the Client, the owner or parent company of the Client, or the Client's
registered fictitious or "DBA" name. Payments will not be made to agents or
representatives of Clients. Segpay agrees to make payment to any third party
management company authorized in writing by the Client.
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6. Spam:
"Spam" generally involves the sending of unsolicited commercial e-mail. The use of Spam
to promote a site receiving service hereunder is prohibited. While SegPay cannot monitor
the manner in which clients advertise, upon receipt of a verifiable complaint that Spam
has been generated on behalf of a site receiving Service hereunder, SegPay shall provide
notice to the Client. Upon the second complaint of Spam sent to the same recipient,
SegPay reserves the right to suspend the Client's account, until such time as Seg Pay
receives adequate assurances, within the sole discretion of Segpay, that the Client shall
refrain from engaging in Spam.
7. End User Information:
Client understands that any information accepted by SegPay from End-Users is the
property of SegPay, and shall remain the property of SegPay upon termination of this
Agreement. Client shall receive from SegPay on a monthly basis all data that pertains to
transactional information from the End-User. The data will be delivered in a format
acceptable to the Client and that can be reasonably supplied by SegPay. Data to be
included are: a) Card type; b) Consumer name; c) Consumer address; d) Consumer email;
e) Username; f) Password; g) Transaction ID; h) URL; i) Purchase Status (rebill/one time);
and j) Card number: first 8 and last 4 digits.
If Segpay ceases processing for the Client for any reason, Client is entitled to have its
Client’s membership/client data delivered by Segpay in reasonable format to another
Payment Card Industry Data Security Standard (PCI) compliant processor or Merchant
Account, within 2 business days of such cessation of processing services. Full data base
details shall include the End-Users credit card number but not CVV/CVV2 information.
Storing CVV/CVV2 details are prohibited by the card associations. Client further agrees
that they shall notify the End-User in the event of a change in processor. Neither Segpay
nor any entity or person in any way associated with Segpay shall be permitted to use, sell
or give away the Client’s membership/client database or any information from that
database other than for the sole purpose of delivering the services herein to Client.
8. Client Transaction Limits:
SegPay may impose limits on the amount or number of purchases which may be charged
to an individual End-User account during any time period, or refuse to accept orders from
End-Users with a prior history of questionable charges. SegPay may impose transaction
limits on Client either temporarily or permanently which are more restrictive than limits
placed on other clients in order to reduce SegPay’s reasonable risk of loss under varying
circumstances. SegPay is in no way responsible for any losses sustained by Client,
including claims for lost profits, on account of the imposition of transaction limits for any
reason.
9. Refund Policy:
SegPay will use commercially reasonable efforts to direct inquiring and complaining End-
Users to utilize the End-User support services offered by Client in order to resolve all
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disputes and complaints, however, SegPay reserves the right to issue a Refund without
the knowledge or consent of Client in any case that it deems appropriate.
10. Excessive End-User Inquiries, Complaints, or Chargebacks:
Client shall at all times have the ability to respond to inquiries from its End-Users
promptly and shall endeavor to resolve disputes with End-Users amicably. The occurrence
of complaints from End-Users and/or inquiries or Chargebacks regarding Client's services
may be cause for termination of this Agreement by SegPay if such events occur with
unacceptable frequency as determined in the sole discretion of SegPay upon reasonable
notice in writing. In addition, SegPay reserves the right to charge Client reasonable fees
and recover its expenses on account of excessive End-User inquiries, Refunds, or
Chargebacks. Prior to imposing such fees and attempting to recover its costs, SegPay
shall notify Client of the details and nature of the problems and attempt to find mutually
acceptable solutions. If SegPay and Client are unable to achieve mutually acceptable
solutions, Client shall have the option of continuing this Agreement subject to the
additional fees and costs imposed by SegPay, or of terminating this Agreement.
11. Password Security:
The security of Client's SegPay account is dependent in part upon the Client maintaining
the confidentiality of the SegPay passwords. Client is wholly responsible for maintaining
the confidentiality of Client's passwords and accounts and for any and all activities that
occur under Client's account.
12. Tangible Goods or Property:
Client may not sell tangible goods or property of any kind under this Agreement.
13. Regulation Authorization, Client Representations:
Client represents and warrants that it is legally authorized and has obtained all necessary
regulatory approvals and certificates to provide any services it intends to offer. Client
further represents and warrants that it will comply at all times with all applicable federal,
state/provincial, or local laws, rules and regulations, including any applicable card
association or Automated Clearing House rules.
Client is fully responsible for the content of its Web site and for the advertising and
promotion of all of Client's products or offerings. Client represents and warrants to
SegPay that it is the owner or that it has full right and authority to use and disseminate all
information, data, graphics, text, video, music or other intellectual property which either
forms a part of its Web site, which is provided by Client to End-Users, or which is used by
Client in its advertising and promotion to End-Users. The Client agrees to accept any valid
Proof of Purchase provided by SegPay as payment for access to the Client's services.
14. Client Information.
Client is responsible for providing information that is timely, complete, truthful, and not
misleading. Client will notify SegPay of any changes of ownership, regulatory actions or
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financial conditions that could materially affect SegPay’s rights under this Agreement.
15. Software:
In consideration for payment of any applicable fees, Client is granted a personal, non-
exclusive, non-transferable license to use the Software, in object code form only, solely in
connection with the Service (the "License"). Client shall not: (i) attempt to reverse
engineer, decompile, disassemble or otherwise translate or modify the Software in any
manner; or (ii) sell, assign, license, sublicense or otherwise transfer, transmit or convey
Software, or any copies or modifications thereof, or any interest therein, to any third
party. Client agrees that the Software is the proprietary and confidential information of
SegPay and/or its licensors. The License shall immediately terminate upon the earlier of:
(i) termination or expiration of this Agreement; (ii) termination of the Service(s) with
which the Software is intended for use; or (iii) failure of Client to comply with any
provisions of this Section.
16. Confidentiality:
Nondisclosure of Confidential Information. Each party acknowledges that it will have
access to certain confidential information of the other party concerning the other party's
business, plans, technology, and products, and other information held in confidence by
the other party (“Confidential Information”). Confidential Information will include all
information in tangible or intangible form that is marked or designated as confidential or
that, under the circumstances of its disclosure, should be considered confidential. Each
party agrees that it will not use in any way, for its own account or the account of any third
party, except as expressly permitted by, or required to achieve the purposes of, this
Agreement, nor disclose to any third party (except as required by law or to that party’s
attorneys, accountants and other advisors as reasonably necessary), any of the other
party's Confidential Information and will take reasonable precautions to protect the
confidentiality of such information, at least as stringent as it takes to protect its own
Confidential Information. The receiving party shall be responsible for any breach of this
Section by its affiliates, agents, advisors, counsel and consultants. The obligations of this
Section shall survive the termination or expiration of this Agreement for two (2) years
thereafter.
Exceptions. Information will not be deemed Confidential Information hereunder if such
information: (i) is known to the receiving party prior to receipt from the disclosing party
directly or indirectly from a source other than one having an obligation of confidentiality
to the disclosing party; (ii) becomes known (independently of disclosure by the disclosing
party) to the receiving party directly or indirectly from a source other than one having an
obligation of confidentiality to the disclosing party; (iii) becomes publicly known or
otherwise ceases to be secret or confidential, except through a breach of this Agreement
by the receiving party; or (iv) is independently developed by the receiving party. The
receiving party may disclose Confidential Information pursuant to the requirements of a
governmental agency or by operation of law, provided that it gives the disclosing party
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reasonable prior written notice sufficient to permit the disclosing party to contest such
disclosure.
17. Taxes:
The Client is fully responsible for and agrees to pay all taxes and other charges imposed
by any government authority on the services provided under this Agreement and on any
transactions processed pursuant to this Agreement. This Section shall not be construed to
impose any tax liability on the Client for any revenues or profits received by SegPay or
Toccata, Inc. for transactions under this Agreement.
18. Limitations of Liability:
SEGPAY ASSUMES NO LIABILITY FOR DISRUPTIONS OR IMPROPER OPERATION OF THE
SERVICE FOR ANY REASON, INCLUDING, BUT NOT LIMITED TO, VANDALISM, THEFT,
ACTIONS OF THIRD PARTY SERVICE PROVIDERS, PHONE SERVICE OUTAGES, INTERNET
DISRUPTIONS, EXTREME OR SEVERE WEATHER CONDITIONS OR ANY OTHER CAUSES IN
THE NATURE OF "ACTS OF GOD" OR FORCE MAJEURE. SEGPAY SHALL NOT BE
RESPONSIBLE FOR ANY SPECIAL, INCIDENTAL, INDIRECT OR CONSEQUENTIAL DAMAGES
INCLUDING ANY LOSS OF PROFIT, REVENUE, SOFTWARE OR DATA, EVEN IF SEGPAY IS
ADVISED OF THE POSSIBLITY OF SUCH DAMAGES. IN NO CASE SHALL CLIENT BE ENTITLED
TO RECOVER DAMAGES FROM SEGPAY WHICH EXCEED THE SUM OF THE AMOUNTS OF
FEES RETAINED BY SEGPAY UNDER THIS AGREEMENT DURING THE ONE MONTH PRIOR TO
THE EVENT GIVING RISE TO THE CLAIM FOR DAMAGES PROVIDED THAT CLIENT SHALL
ALWAYS BE ENTITLED TO RECOVER MONIES RECEIVED BY SEGPAY FROM END-USERS AND
ALLEGED TO BE DUE AND OWING TO CLIENT UNDER THE TERMS OF THIS AGREEMENT.
19. Disclaimer of Warranties:
EXCEPT AS SPECIFICALLY SET FORTH IN THIS AGREEMENT, SEGPAY MAKES NO
WARRANTIES, EXPRESS OR IMPLIED, AS TO ANY SEG PAY SERVICES, RELATED PRODUCTS,
SOFTWARE OR DOCUMENTATION. SEGPAYSPECIFICALLY DISCLAIMS ANY AND ALL
IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTIES OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
20. Indemnification:
Client agrees to fully defend, indemnify and hold harmless SegPay and its directors,
officers, employees, independent contractors and agents from and against all claims,
allegations, demands, causes of action, expenses, damages, losses, charges, liabilities,
fines, costs or penalties, including attorneys’ fees and related expenses and costs relating
to (a) the breach by Client of any representation or warranty under this Agreement; (b)
Client’s failure to perform its obligations under this Agreement; (c) fraud or
misrepresentation by Client; (d) any act or omission of a Client; and (e) bodily injury to, or
death of, any person or damage to, or loss or destruction of, any property resulting from
any act or omission of Client.
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SegPay agrees to fully defend, indemnify and hold harmless the Client and its directors,
officers, employees, independent contractors and agents from and against all claims,
allegations, demands, causes of action, expenses, damages, losses, charges, liabilities,
fines, costs or penalties, including attorneys’ fees and related expenses and costs relating
to (a) the breach by SegPay of any representation or warranty under this Agreement; (b)
SegPay’s failure to perform its obligations under this Agreement; (c) fraud or
misrepresentation by SegPay; (d) any act or omission of SegPay; and (e) bodily injury to,
or death of, any person or damage to, or loss or destruction of, any property resulting
from any act or omission of SegPay.
21. Term:
Both parties reserve the right to terminate this Agreement, without cause, upon ninety
(90) days prior written notice to the other party. Should, however, any card association or
bank provide notice to SegPay of its decision to stop processing transactions for any
reason, then SegPay shall have the right to terminate this Agreement upon thirty (30)
days written notice to Client. SegPay may further terminate this Agreement immediately,
without notice, at any time Client breaches any material provision of this Agreement.
Upon termination, notice of non-renewal or cancellation of this Agreement, payment
shall be made in accordance with Section 4, above.
22. Default:
In the event Client defaults in any provision or fails to perform pursuant to this
Agreement, SegPay shall be entitled to any direct damages caused by that default, costs
and attorney's fees from the Client, but shall not be responsible for any special,
incidental, indirect or consequential damages
23. Survival of Claims:
Any claim arising out of or related to this Agreement must be brought no later than one
year after it has accrued.
24. Invalid or Non-enforceable Provisions:
The invalidity or non-enforceability of any provision of this Agreement, as so determined
by a court of competent jurisdiction, shall not affect the other provisions hereof, and in
any such occasion this Agreement shall be construed in all respects as if such invalid or
non-enforceable provision were omitted.
25. Account Claims and Disputes:
If another person or entity makes a claim against funds in Client's account, or if SegPay
has reason to believe there is or may be a dispute over matters such as ownership of the
account or the authority to receive payment, or make changes to the account, SegPay
may, in its sole discretion, (1) continue to rely upon current SegPay documents; or (2)
hold the funds in an escrow account until determination of the ownership of those funds
by a court of competent jurisdiction to resolve the dispute.
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26. Arbitration, Venue, Choice of Law:
Except to the extent a party is entitled to injunctive or other equitable relief to enforce
the provisions of this Agreement, any controversy or claim arising out of or relating to this
Agreement or breach of this Agreement shall be settled by binding arbitration in
accordance with the Commercial Rules of the American Arbitration Association then in
effect. Any demand for arbitration by a party hereto may be served on the other party at
any time within the period provided by the applicable statute of limitations. The parties
jointly shall select one independent and impartial arbitrator. Failing agreement by the
parties, each party shall select an arbitrator who shall mutually select a third independent
and impartial arbitrator, who shall be the sole arbitrator of any such dispute. This
Agreement shall be construed and enforced in accordance with the laws of the State of
Florida and the venue for arbitration proceedings hereunder shall be Broward County,
Florida. Each party shall pay the fees of such party's own attorney, and the expenses for
such party's witnesses and all other expenses connected with presenting such party's
case. Other costs of the arbitration, including the costs of any record or transcript of the
arbitration, administrative fees, the fee of the arbitrator, and all other fees and costs,
shall be borne equally by the parties. Depositions may be taken and other discovery may
be obtained during such arbitration proceedings to the same extent as authorized in civil
judicial proceedings. The arbitrator shall not extend, modify or suspend any of the terms
of this Agreement; nor shall the arbitrator have jurisdiction to substitute the arbitrator's
judgment for that of the parties in the absence of a clear abuse of discretion established
by a preponderance of the evidence. The arbitrator shall render an award within thirty
(30) days after the close of hearing or submission of the parties' briefs, whichever is later.
The arbitrator shall not have jurisdiction to hear any controversy or claim for which a
demand for arbitration is not filed in the manner specified and within the time limits
specified herein. The arbitrator shall have no jurisdiction to award punitive or other
damages in excess of actual damage. The decision of the arbitrator within the scope of
the submission shall be final and binding on all parties, and any right to judicial action on
any matter subject to arbitration hereunder is hereby waived (unless otherwise provided
by applicable law). Judgment upon any award rendered by the arbitrator may be entered
in any court having jurisdiction, and either party may seek to enforce the judgment.
27. Captions:
The captions in this Agreement are for convenience only and shall not be used in
interpreting, construing, performing or enforcing this Agreement.
28. Amendments and Modifications:
No amendment or modification of this Agreement shall be valid unless same is in writing
and signed by all parties hereto. SegPay may amend this Agreement to take into account
changes in law or regulations or industry mandates and to accommodate changes
imposed on SegPay, and to make other changes deemed necessary by SegPay by sending
Client a specimen of the changed Agreement, or making a specimen of the changed
agreement available upon a web page located on the Internet. Client will be notified of
the change and location to view the change. Unless Client rejects the changed
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Agreement and terminates this Agreement by notice to SegPay in writing within 30 days
after SegPay sends the changed Agreement, or makes said changed agreement available
on the Internet, the changed Agreement shall replace this Agreement and be in full force
and effect.
29. Notices
Any and all notices to SegPay, or other communications under or with respect to this
Agreement to SegPay, shall be in writing, and shall be delivered by hand; mailed postage
pre-paid, either by registered or certified mail, return receipt requested; or by overnight
courier to the following address, with a copy faxed to the following fax numbers:
SegPay Address:
3111 North University Drive, Suite 1000
Coral Springs, Florida 33065
Phone: 954-688-3562
Fax: 208-279-9519
Client Address:
30. Survival of Obligations:
The rights and obligations of the parties hereunder which by their nature would continue
beyond the termination or cancellation of this Agreement (including, without limitation,
those relating to confidentiality, payment of charges and limitations of liability) shall
survive any termination or cancellation of this Agreement.
31. Transfer and Assignment:
Client may not sell, assign or transfer any of its rights or obligations under this Agreement
without the prior written consent of SegPay.
32. Counterparts:
This Agreement may be executed in counterparts, each of which shall constitute an
original and all of which shall be one and the same instrument. A facsimile copy shall
serve as an original.
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33. Authorization; Entire Agreement:
The persons signing or otherwise accepting this Agreement on behalf of the Client
represent and warrant that they have the authority to enter into this Agreement on
behalf of the Client. This Agreement contains the entire agreement of the parties and
supercedes any other agreements (written or oral), instruments or writings as to its
subject matter.
SegPay EU Client
By (Signature): By (Signature):
__________________________ _____________________________
Print Name: ________________ Print Name: ___________________
Title: _____________________ Title: ________________________
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Required Client Information (this section must be completed for account activation)
Principal Name:
Principal Address:
Principal City:
Principal State
Principal Country
Principal Phone Number:
Principal Email Address:
Business Name:
Business Type: Sole Proprietor, Limited Liability Corporation, Corporation, Other______
Business Address:
Business City:
Business State:
Business Country:
Business Phone Number:
Primary Identification (Drivers License, Passport, Social Security Card, Tax Id)
Secondary Identification: (Drivers License, Passport, Social Security Card, Tax Id)
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