INSTRUCTIONS: This agreement is used only when BISNet Intl., Inc. provides the software, check blanks and technical support package. First, print this document, then fill in blanks and fax/send it back to us. Business Name: __________________________ | Day Phone: (___) ____-______ | Business Address: _______________________ | Eve Phone: (___) ____-______ | City, ST ZIP: ___________________________ | EMail: _________@___________ Primary Contact Person: _________________________ Title: _______________ Type of Business: _______________________________ Type of PC:___________ Type of Laser Printer: Hewlett Packard II/IID/IIID, IIP, IIISi, IVSi, HP4 HP4L, Ricoh M-20/M-32, Panasonic 4420, IBM 4019/4039/4037, Xerox 4030, or Okidata 400/800 (circle the cartridge type you desire). How did you hear about us? BBS/Friend/Associate Name:____________________ Do you want referral commissions posted as credit to your account Yes/No If No, is your business incorporated? Tax ID No _______________________ |------------------------------| --------------------| Software Service Agreement |-------------------- |------------------------------| This agreement is made by and between BISNet International, Inc., hereafter referred to as The Provider, and _________________________________________, hereafter referred to as the Customer, on this ______ day of ____________ 199___. The parties hereto agree as follows: I. The Customer will use software provided by The Provider to print pre-authorized checks, payable only to Customer, for the purchases of Customer's services/products, for deposit into Customer's account. Since check drafts can be returned by the financial institution for various reasons, just as a regular check, The Provider is not responsible for acceptance and/or payment of the draft by any financial institution. II. The zProvider will provide blank checks for Customer to print pre- authorized checks on Customer's laser printer at a price of $.___ per check. Customer agrees to attach a monitoring device to their Computer to track the number of checks remaining in Customer's inventory. When new checks are ordered, the monitoring device will be updated to reflect the increase in check inventory. Customer also agrees to use magnetic toner cartridges supplied by The Provider, which are ordered as necessary. Customer agrees to use only check blanks and toner furnished by The Provider. III. The Customer will pay The Provider $199.00 (plus Sales Tax as appropriate) for the Introductory Package, and a monthly service fee. This agreement authorizes Provider to draft $_________ from Customer's account upon execution of this agreement, to start this service. Customer certifies that BISNet Intl., Inc. has the authority to draft this payment in the amount as invoiced at the end of each month. Provider's invoice to Customer will be included with the check shipment each month. The invoice will include the next month's service charge and charges for any additional checks shipped during the past month. If Customer identifies a discrepancy in the invoice, they will notify The Provider within ten days of receipt, to get their account corrected prior to payment drafting. The Provider will presume the invoice is correct, and Provider will deposit a draft for the invoice amount, if there is notification. IV. The term of this agreement is one year, and may be reviewed by either party for renewal one year from the date of the signing of this agreement. The Provider and The Customer agree that this entire agreement may be terminated by either party with 30 days written notice. The Provider The Customer ______________________ ______________________ Signature Signature ____________ ____________ Date Date 旼컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴� � � � � � � � � � � Please attach a voided check � � or deposit slip here. � � � � � � � � � � � 읕컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴� (c) 1995 BISNet Intl., Inc.