Payment Application Data. Notwithstanding merchant's disclosure of the information requested herein, Processor cannot and does not undertake any responsibility to advise, direct or otherwise validate merchant's payment application as compliant with the Payment Application Data Security Standard (PA DSS), the PCI DSS and/or Visa’s Payment Application Best Practices (PABP). Merchant hereby ensures that it has reviewed and confirmed that such application(s) comply with the PABP, PA DSS and the PCI DSS. (i) Have you suffered a system intrusion or “hack” that resulted in the compromise of account data? Yes No (ii) Payment Gateway (e.g. ▇▇▇▇▇▇▇▇▇.▇▇▇, etc.) (iii) Other (please list): (iv) Merchant Compliance Contact Information Name Phone Number Email Address (if preferred form of communication) (v) Integrated Software Solution (e.g.
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Payment Application Data. Notwithstanding merchant's disclosure of the information requested herein, Processor cannot and does not undertake any responsibility to advise, direct or otherwise validate merchant's payment application as compliant with the Payment Application Data Security Standard (PA DSS), the PCI DSS and/or Visa’s Payment Application Best Practices (PABP). Merchant hereby ensures that it has reviewed and confirmed that such application(s) comply with the PABP, PA DSS and the PCI DSS.
(i) Have you suffered a system intrusion or “hack” that resulted in the compromise of account data? Yes No
(ii) Payment Gateway (e.g. ▇▇▇▇▇▇▇▇▇.▇▇▇, etc.)
(iii) Other (please list):
(iv) Merchant Compliance Contact Information Name Phone Number Email Address (if preferred form of communication)
(v) Integrated Software Solution (e.g.Service Provider/Gateway
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Sources: Merchant Price Schedule