Application for Acquiring AgreementCARD PRESENT

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Nets Danmark A/S (reg. no. 20016175) Part of the Nets Group www.nets.eu/payments Page 1 of 2

THE AGREEMENT APPLIES FOR THE ACQUIRING OF CARD PRESENT AND UNATTENDED TERMINAL FOR THE FOLLOWING CARD BRANDS:Please tick the card types for which you wish to apply. If you do not tick any cards, we will set up all card types.

Visa / Visa Electron / V PAY Mastercard / Maestro JCB UnionPay* Diners / Discover*

1. MERCHANT DETAILS

1.1 Company reg. no.:

1.4 Postcode:

1.2 Company name:

1.6 Country:1.5 Town/city:

1.7 Group/chain, if any: 1.8 Business sector/line of business: 1.9 Company contact person (for this agreement):

1.10 E-mail (contact person): 1.11 Name of person authorised to sign:

1.13 Merchant name (Point of sale/doing business as):

1.12 Telephone (contact person):

1.3 Company address:

1.14 Contact person (at point of sale):

2.1 Reg. no.: 2.4 SWIFT/BIC code:2.2 Account number:

* Normally transaction currency and settlement currency are the currency of the merchant country

1.15 Phone number at point of sale:

1.16 Merchant address (point of sale)*: 1.17 Postcode*: 1.18 Town/city*: 1.19 Country*:

* If other than company address

2.3 IBAN number:

2.5 Sort Code (SC): For German merchants when EUR account and English merchants when GBP or EUR account 2.6 Transaction currency*: 2.7 Settlement currency*:

2.9 E-mail for PDF settlement notification: 2.10 E-mail for CSV settlement notification:2.8 Settlement advice:

PDF (write e-mail) CSV (write e-mail)

2.11 Settlement for Mastercard, Visa, JCB, UnionPay, Diners and Discover:

Weekly collection of card revenue and weekly notification

You receive card revenue and settlement notification once a week. Your merchant’s card revenue is collected from Tuesday one week to Monday the next week. This Monday Nets sends the settlement notification. The card revenue will be accessible on your account after two banking days.

Running settlement after 7 days and notification sent daily

You receive card revenue and settlement notification every day running. Your card revenue from Tuesday one week will be transferred to your account Tuesday the next week – 7 days later. Settlement notification will be sent to you the same day as we transfer the revenue. The money is accessible on your account after two banking days.

Monthly settlement and monthly notification

You receive card revenue and settlement notification once a month with 2-33 days old revenue. Your card revenue is collected the first to the last day of the month. The next banking day we send your settlement noti-fication with information about the card revenue of the previous month. The money is accessible on your account after two banking days.

4. TURNOVER

4.1 Describe type of goods/services sold: 4.2 Price of the most expensive product/service:

4.3 What is your prime business? 4.4 Average transaction amount:

4.6 Estimated monthly debit/credit-card turnover. Only required for merchants with seasonal fluctuations in sales (e.g. holiday resorts):

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

4.5 Estimated annual turnover:

2. SETTLEMENT INFORMATIONAccount number for deposit of settlement

For internal use (to be completed by Nets) Date: Partner-ID: Standard agreement: Customer group:Hierarchy:

3.1 Payment terminal supplier: 3.2 Unattended terminal: 3.3 Payment terminal model:

3. PAYMENT TERMINAL INFORMATION

Yes No

*) For merchants situated in Denmark, Norway, Sweden and Finland

Application for Acquiring AgreementCARD PRESENT

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Nets Danmark A/S (reg. no. 20016175) Part of the Nets Group www.nets.eu/payments Page 2 of 2

5. PRE-PAYMENT

5.3 What percentage of the total estimated turnoverwill be pre-paid?

5.2 Describe the goods/services that are pre-paid (e.g. hotels/accommodation, travels, furniture, gift cards, membership):

5.4 On average, how many days from paymentdate to delivery date?

% Days

6. AUTHORISED SIGNATUREBy signing this application you accept that the below, which is available on www.nets.eu/en/payments/terms-and-conditions/acquiring-terms/, forms part of Acquiring Agreement:

Yes No

Company, location and date:Signature:

Name in CAPITAL LETTERS:

DOCUMENTATION

Account documentation: Documentation that the account given for belongs to your company.

(e.g. copy of statements or other bank documentation. The name of the bank, the full legal name

and/or company reg. no., reg. and account number of the company must be shown)

For partnerships:• The company’s latest registration certificate

• Latest personal account statements for all the owners

Limited companies and public limited companies:• Copy of the company’s latest registration certificate

Sole traders:• Copy of latest registration certificate

• Latest personal account statement

5.1 Do you accept pre-payments? Yes If Yes, please specify: No If No, go to section 6

• Terms and Conditions

• Merchant Instructions

• Security in connection with card payments – face-to-face

transactions

By signing this application you consent to:• Nets gathering information from your bank about the identity

of your business and its accounts

• Nets passing on information about your company’s payment

card agreement to another bank, including information on

the size and number of payment transactions

• Nets storing, processing and passing on information about

the payment card agreement, including CPR no. and reg. no.

for the purposes of credit rating, contact with your bank and

administration of the payment card agreement

• Nets using the above information for statistical purposes

• Nets sending changes to the terms and conditions to your

business by e-mail

• Nets registering information about you and your business.

We use this information in risk assessment and agreements.

We store the information for as long as we need it.

This agreement form together with the terms, information on the amount of interchange fees and scheme fees, and price list from time to time in effect, comprise the entire agreement between Nets Denmark

A/S and the merchant in relation to card acceptance and acquiring and supersedes any and all previous agreements and terms between the parties in relation to card acquiring. The applicable terms and

conditions are available at www.nets.eu/en/payments/terms-and-conditions/acquiring-terms/. The information on the amount of interchange fees and schemes fees are available at www.nets.dk/payments/

unblendedfees. The agreement will enter into force when the merchant receives an agreement number, or when the merchant receives notification from Nets Denmark A/S. Regular email can be used for

communication between Nets Denmark A/S and the merchant.

Do you wish to receive e-mails with information on products, rules and trends in the market from Nets and other companies in the Nets group in the areas of acquiring, payment cards, payment services and

payment terminals etc.?

When sending your application, you must attach the documentation below. We are unable to process your application without the required documentation.

Appendix 1: Copy of photo ID

Appendix 2: Ownership

The following also applies:

Associations:• Articles of association (the persons who are authorised to sign must

be stated)

• Minutes of general meeting where the latest board was elected (the persons who are

authorised to sign and their titles must be stated)

• Latest annual accounts

Funds:• Deed of foundation (the persons who are authorised to sign must be stated)

SEND THE SIGNED APPLICATION AND DOCUMENTATION IN ONE OF THE FOLLOWING WAYS:

E-mail

onboarding-dk@nets.eu

Mail

Nets Denmark A/S

Lautrupbjerg 10,

DK-2750 Ballerup

Att: Onboarding

Fax

+45 44 89 26 80

Contact us

If you have any questions,

please contact

+45 44 89 24 80

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01.

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Nets Danmark A/S (reg. no. 20016175) Part of the Nets Group www.nets.eu/payments

Identification, appendix 1, , Acquiring AgreementCARD PRESENT

Appendix 1

COPY OF VALID ID FROM THE PERSON SIGNINGThe person must be authorised to sign.

Company reg. no. as stated on application:

Place your photo-ID in this box and take a copy.

RETURN THIS DOCUMENTATION WITH PHOTO ID (WITH THE APPLICATION)

E-mail

onboarding-dk@nets.eu

Mail

Nets Denmark A/S

Lautrupbjerg 10,

DK-2750 Ballerup

Att: Onboarding

Fax

+45 44 89 26 80

Contact us

If you have any questions,

please contact

+45 44 89 24 80

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Nets Danmark A/S (reg. no. 20016175) Part of the Nets Group www.nets.eu/payments Appendix 2

Ownership information, appendix 2, Acquiring AgreementCARD PRESENT

In connection with the conclusion of the agreement, Nets Danmark A/S is obliged to check the ownership of the merchant (cf. the Act on prevention of money laundering and terrorism financing).

Legal name of merchant: Business registration number:

Address: Type of business entity:

Name:

Address:

Personal identity number: Owner interest as a %:

OWNER 1

Name:

Address:

Personal identity number: Owner interest as a %:

OWNER 2

Name:

Address:

Personal identity number: Owner interest as a %:

OWNER 3

The Financial Supervisory Authority of Norway’s regulations and guidance on measures against money laundering and the financing of terrorism Chapter 2.7 describes the checks that must be performed in connection with verifying the identity of the beneficial owners. If the merchant is a legal person, Nets must obtain sufficient information to understand the ownership and control structure at the merchant. Information can be obtained through external registers or by receiving relevant information from the merchant.

1. For companiesa) direct or indirect owns or controls more than 25 % of the holdings or the votes in the companyb) controls the management in the company in a different way

2. For associations, funds etc.a. according to the statutes is the beneficiary of 25 % or more of the property, legal arrangement or entityb. has main interest in establishment or the managementc. exercises control over more than 25 % of the property

Name:

Address:

Personal identity number: Owner interest as a %:

OWNER 4

Does the merchant have one or more physical persons who directly or indirectly own/control more than 25 % of the business or of the value of assets in the business? No Yes If yes, please specify here:

Please fill in beneficial owners and if they do not exist, Board of Directors should be filled instead.)