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<div class=3DSection1>

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"UDC Logo 2"/>
</v:shape><![endif]--><![if !vml]><img width=3D311 height=3D81
src=3D"UDC_AGENT_CONTRACT_v5.1_files/image002.jpg" v:shapes=3D"_x0000_i1025=
"><![endif]><o:p></o:p></span></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span lang=3DFR style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;
font-family:"Comic Sans MS";mso-ansi-language:FR'>4690 Southwest 78 Avenue<=
o:p></o:p></span></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span lang=3DFR style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;
font-family:"Comic Sans MS";mso-ansi-language:FR'>Davie, Florida 33328<o:p>=
</o:p></span></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span lang=3DFR style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;
font-family:"Comic Sans MS";mso-ansi-language:FR'><o:p>&nbsp;</o:p></span><=
/b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
"Comic Sans MS"'>(954) 252-1606<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Fax<span style=3D'mso-spacerun:yes'>&nbsp; </span>(954) 252-1620<o:p=
></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:1.1in'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:1.1in'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:1.1in'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:1.1in'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:1.1in;text-align:justify'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Dear
Prospective Agent:<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:1.1in;text-align:justify'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:-.05in;text-align:justify'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Thank=
 you
for your interest in becoming a payment agent. Upon receiving a payment fro=
m a
customer, your store will transfer the payment record to the vendor via the
Universal Data Consultants Payment Entry System.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>For your convenience you may proce=
ss
payments either (1) over the internet using any standard web browser or (2)=
 you
may use a touch-tone telephone, land line or cell phone (used when your
internet is not available).<span style=3D'mso-spacerun:yes'>&nbsp; </span>A=
ll
systems are accessible 24 hours a day 7 days a week.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>You may call our office at any tim=
e for
customer support.<span style=3D'mso-spacerun:yes'>&nbsp; </span>The approxi=
mate
time for you to process a transaction is less than one minute.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>All fees collected, minus your
commission, are electronically transferred from your business bank account =
to
the vendor on a daily basis.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Payments are to be made in the form of cash only and will be debited
daily the same day they are entered.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:-.05in;text-align:justify'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoBodyText3 style=3D'margin-right:-.1in;tab-stops:495.0pt'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Shoul=
d you
choose to become a payment center, please have the store owner sign and ret=
urn
the Walk-In Payment Services Agreement, Authorization Agreement for
Pre-Arranged Payments, Attachment A and Attachment B forms.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Once these documents are received,=
 we
will set up your store in the payment entry system and send you a merchant
identification number along with instructions for entering payments.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Upon receiving the instructions, y=
ou may
begin taking payments.<span style=3D'mso-spacerun:yes'>&nbsp; </span>In ord=
er to
expedite this process, you may fax the contract and other requested documen=
ts
to us.<span style=3D'mso-spacerun:yes'>&nbsp; </span>However, we do require=
 that
you mail us the original signed documents in addition to faxing them.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Please don&#8217;t hesitate to cal=
l us
with any questions.<span style=3D'mso-spacerun:yes'>&nbsp; </span>We look f=
orward
to working with you and your staff.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:-.1in;text-align:justify'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:-.05in'><span style=3D'font-size=
:8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Very truly yours,<o:p></o:p></=
span></p>

<p class=3DMsoNormal style=3D'margin-right:-.05in'><span style=3D'font-size=
:8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:-.05in'><span style=3D'font-size=
:8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-right:-.05in;text-align:le=
ft'><span
style=3D'font-weight:normal'>Universal Data Consultants, Inc.<o:p></o:p></s=
pan></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><o:p>&nbsp;</o:p=
></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><u><span style=
=3D'font-weight:
normal'><o:p><span style=3D'text-decoration:none'>&nbsp;</span></o:p></span=
></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'f=
ont-weight:
normal'>When faxing the paperwork, please be sure to include the following
completed forms:<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'f=
ont-weight:
normal'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:.5in;text-align:left;
text-indent:-.25in;mso-list:l6 level1 lfo10;tab-stops:list .5in'><![if !sup=
portLists]><span
style=3D'mso-fareast-font-family:Arial;font-weight:normal'><span
style=3D'mso-list:Ignore'>1)<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-weight:normal'>Page 2 of=
 the
Walk-In Pay Services Agreement<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:.5in;text-align:left;
text-indent:-.25in;mso-list:l6 level1 lfo10;tab-stops:list .5in'><![if !sup=
portLists]><span
style=3D'mso-fareast-font-family:Arial;font-weight:normal'><span
style=3D'mso-list:Ignore'>2)<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-weight:normal'>Page 7 of=
 the
Walk-In Pay Services Agreement<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:.5in;text-align:left;
text-indent:-.25in;mso-list:l6 level1 lfo10;tab-stops:list .5in'><![if !sup=
portLists]><span
style=3D'mso-fareast-font-family:Arial;font-weight:normal'><span
style=3D'mso-list:Ignore'>3)<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-weight:normal'>Page 8 of=
 the
Walk-In Pay Services Agreement (fill in the lines under Agent)<o:p></o:p></=
span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:.5in;text-align:left;
text-indent:-.25in;mso-list:l6 level1 lfo10;tab-stops:list .5in'><![if !sup=
portLists]><span
style=3D'mso-fareast-font-family:Arial;font-weight:normal'><span
style=3D'mso-list:Ignore'>4)<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-weight:normal'>Authoriza=
tion
Agreement for Pre-Arranged Payments form (page 9)<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:.5in;text-align:left;
text-indent:-.25in;mso-list:l6 level1 lfo10;tab-stops:list .5in'><![if !sup=
portLists]><span
style=3D'mso-fareast-font-family:Arial;font-weight:normal'><span
style=3D'mso-list:Ignore'>5)<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-weight:normal'>Copies of=
 a
voided check and a government issued picture identification<o:p></o:p></spa=
n></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:.5in;text-align:left;
text-indent:-.25in;mso-list:l6 level1 lfo10;tab-stops:list .5in'><![if !sup=
portLists]><span
style=3D'mso-fareast-font-family:Arial;font-weight:normal'><span
style=3D'mso-list:Ignore'>6)<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-weight:normal'>Attachmen=
t A
form with your store&#8217;s location information (page 10)<o:p></o:p></spa=
n></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:.5in;text-align:left;
text-indent:-.25in;mso-list:l6 level1 lfo10;tab-stops:list .5in'><![if !sup=
portLists]><span
style=3D'mso-fareast-font-family:Arial;font-weight:normal'><span
style=3D'mso-list:Ignore'>7)<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-weight:normal'>Sales Tax
Certificate<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:.5in;text-align:left;
text-indent:-.25in;mso-list:l6 level1 lfo10;tab-stops:list .5in'><![if !sup=
portLists]><span
style=3D'mso-fareast-font-family:Arial;font-weight:normal'><span
style=3D'mso-list:Ignore'>8)<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-weight:normal'>Bank
Statement(s)<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'f=
ont-weight:
normal'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:.25in;text-align:left=
'><span
style=3D'font-weight:normal'>* If you make a mistake, please cross out the =
error
and initial next to it (do not use white out)<o:p></o:p></span></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

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</v:shapetype><v:shape id=3D"_x0000_s1026" type=3D"#_x0000_t202" style=3D'p=
osition:absolute;
 left:0;text-align:left;margin-left:243pt;margin-top:0;width:252pt;height:1=
35pt;
 z-index:1'/><![endif]--><![if !vml]><span style=3D'mso-ignore:vglayout;
position:relative;z-index:1'><span style=3D'left:0px;position:absolute;
left:323px;top:-1px;width:342px;height:186px'>

<table cellpadding=3D0 cellspacing=3D0>
 <tr>
  <td width=3D342 height=3D186 bgcolor=3Dwhite style=3D'border:.75pt solid =
black;
  vertical-align:top;background:white'><![endif]><![if !mso]><span
  style=3D'position:absolute;mso-ignore:vglayout;left:0pt;z-index:1'>
  <table cellpadding=3D0 cellspacing=3D0 width=3D"100%">
   <tr>
    <td><![endif]>
    <div v:shape=3D"_x0000_s1026" style=3D'padding:4.35pt 7.95pt 4.35pt 7.9=
5pt'
    class=3Dshape>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'>Please check all that apply:<o:p></o:p></=
span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'>______ I am an authorized Agent of:<span
    style=3D'mso-spacerun:yes'>&nbsp; </span>______ Verizon Wireless<span
    style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span><o:p></o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><span
    style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
    </span><o:p></o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><span
    style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
    </span></span><span lang=3DFR style=3D'font-size:7.0pt;font-family:Aria=
l;
    color:navy;mso-ansi-language:FR'>______ T-Mobile<span
    style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span>ERP/Limited?=
<span
    style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span></span><span style=3D'fo=
nt-size:
    7.0pt;font-family:Arial;color:navy'>YES / NO<o:p></o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'>______ I am a Subagent under
    ___________________________________<o:p></o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><span
    style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;
    </span>(Master Distributor&#8217;s Name)<o:p></o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'>______ I am a Master Distributor<o:p></o:=
p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'>______ None of the Above<o:p></o:p></span=
></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></p>
    <p class=3DMsoFooter style=3D'tab-stops:.5in'><span style=3D'font-size:=
7.0pt;
    font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></p>
    </div>
    <![if !mso]></td>
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  </span><![endif]><![if !mso & !vml]>&nbsp;<![endif]><![if !vml]></td>
 </tr>
</table>

</span></span><![endif]><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<br style=3D'mso-ignore:vglayout' clear=3DALL>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'f=
ont-weight:
normal'><!--[if gte vml 1]><v:shape id=3D"_x0000_i1026" type=3D"#_x0000_t75"
 style=3D'width:2in;height:71.4pt'>
 <v:imagedata src=3D"UDC_AGENT_CONTRACT_v5.1_files/image003.png" o:title=3D=
"UDC Logo 1"/>
</v:shape><![endif]--><![if !vml]><img width=3D192 height=3D95
src=3D"UDC_AGENT_CONTRACT_v5.1_files/image004.jpg" v:shapes=3D"_x0000_i1026=
"><![endif]><span
style=3D'mso-tab-count:7'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
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p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u><o:p></o:p></u=
></span></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle><u><span style=3D'font-weight:normal'>WALK-IN PAY SERVI=
CES
AGREEMENT<o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyText style=3D'line-height:10.0pt;mso-line-height-rule:exa=
ctly'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>This
Walk-In Pay Services Agreement (&quot;Agreement&quot;) is entered into betw=
een
Universal Data Consultants, Inc., a Florida Corporation, (referred to as
&#8220;UDC&#8221;), and
___________________________________________________________________________=
______________________________,
(legal business name), doing business as (d/b/a), _________________________=
___________________________________________________________________________=
___,
with Federal Tax Identification Number
___________________________________________________________________________=
___________________
a(n) (State of) ___________________________________________________________=
________________________________________________________
(business organization: corporation, partnership, sole proprietorship, etc.)
________________________________________________, (referred to as &#8220;Ag=
ent&#8221;),
as of the date of last signature at the end of this Agreement (the
&#8220;Effective Date&#8221;).<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'>Agent and UDC hereby agree as follows:<o:p></o:p></span>=
</p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-align:justify;text-ind=
ent:
-.25in;mso-list:l9 level1 lfo2;tab-stops:list .25in'><![if !supportLists]><=
span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-fa=
reast-font-family:
Arial'><span style=3D'mso-list:Ignore'>1.<span style=3D'font:7.0pt "Times N=
ew Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
12.0pt;font-family:Arial'><span style=3D'mso-spacerun:yes'>&nbsp;</span><u>=
PURPOSE</u>:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent provides a retail and collec=
tion
services.<span style=3D'mso-spacerun:yes'>&nbsp; </span>&#8220;Providers&#8=
221;
supply telephone service (&#8220;Services&#8221;).<span
style=3D'mso-spacerun:yes'>&nbsp; </span>UDC operates a data concentration =
and
delivery service.<span style=3D'mso-spacerun:yes'>&nbsp; </span>UDC and Age=
nt
desire to enter into an arrangement in which Agent will collect payments fr=
om
customers of Providers for Providers Services (&#8220;Customers&#8221;) and
transfer the payment data information and funds collected for the Providers
payments to UDC for remittance.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Agent shall act as or be an agent of UDC and shall act on behalf of,=
 and
for the benefit of, Providers in accepting and collecting payments from
Customers for Providers Services (&#8220;Customer Payments&#8221;).<o:p></o=
:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in;mso-list=
:l9 level1 lfo2;
tab-stops:list .25in'><![if !supportLists]><span style=3D'font-size:7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>2.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><u><span style=3D'font-size:7.0pt;mso-bidi-f=
ont-size:
12.0pt;font-family:Arial'>AGENT RESPONSIBILITIES</span></u><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>:<o:p=
></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 2.1<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u>SCOPE
OF SERVICE<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>During the term of this Agreement, Agent shall
provide to UDC, for the benefit of Providers, the retail services for Custo=
mers
that include services for accepting and collecting Customer Payments as more
fully set forth herein.</span><span style=3D'font-size:7.0pt;mso-bidi-font-=
size:
12.0pt;font-family:Arial'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 2.2<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u>AGENT
SERVICES<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>Agent shall provide the following retail services=
 to
UDC during the term of this Agreement.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.75in;text-indent:-.25in;
mso-list:l3 level1 lfo3;tab-stops:list .75in'><![if !supportLists]><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-fa=
reast-font-family:
Arial'><span style=3D'mso-list:Ignore'>(a)<span style=3D'font:7.0pt "Times =
New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
10.0pt;font-family:Arial'>Agent shall accept and collect Customer Payments =
from
Customers in accordance with the terms and conditions of this Agreement.<sp=
an
style=3D'mso-spacerun:yes'>&nbsp; </span>Each Customer Payment will only be
accepted for collection from Customers or their representatives, when made =
in
person and in the form of cash only, or with the prior written consent of U=
DC
other forms of payment may be accepted by Agent; provided that Agent who has
the personal and direct contact with Customers shall be responsible and sol=
ely
liable if such other forms of payment are returned as insufficient funds,
dishonored or otherwise not recognized as available funds for any reason by=
 the
applicable banking institution (also see Section 2.5 below).<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent agrees that all sales are fi=
nal.</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.75in;text-indent:-.25in;
mso-list:l3 level1 lfo3;tab-stops:list .75in'><![if !supportLists]><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-fa=
reast-font-family:
Arial'><span style=3D'mso-list:Ignore'>(b)<span style=3D'font:7.0pt "Times =
New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
12.0pt;font-family:Arial'>Agent shall make its locations available for the
acceptance of Customer Payments during the Agent&#8217;s normal business
hours.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent will provide UDC=
 with
written notice of any added location on the form attached hereto as
&#8220;Attachment A&#8221; or any locations that cease taking transactions.=
<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.75in;text-indent:-.25in;
mso-list:l3 level1 lfo3;tab-stops:list .75in'><![if !supportLists]><span
style=3D'font-size:7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial;mso-fa=
reast-font-family:
Arial'><span style=3D'mso-list:Ignore'>(c)<span style=3D'font:7.0pt "Times =
New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
12.0pt;font-family:Arial'>Each Customer Payment shall be immediately record=
ed
by Agent to UDC using either the voice payment entry system via telephone
(&#8220;Voice Payment Entry System&#8221;) or directly to UDC&#8217;s centr=
al
computer via computer transmission (&#8220;Computer Payment Entry
System&#8221;) (collectively referred to as the &#8220;UDC Payment Entry
System&#8221;).<span style=3D'mso-spacerun:yes'>&nbsp; </span></span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'>If us=
ing
the Computer Payment Entry System, the Agent shall provide UDC with at least
ninety (90) days advance notice of any planned enhancement, upgrades,
replacements, or significant modifications (&quot;System Changes&quot;) to =
the
computer hardware, software, or networks used to provide the Agent Services,
and provide specific details of any System Changes that could possibly alter
transmission activity for Customer Payment data.<span
style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in'><span style=3D'font-=
size:7.0pt;
mso-bidi-font-size:10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.75in;text-indent:-.25in;
mso-list:l3 level1 lfo3;tab-stops:list .75in'><![if !supportLists]><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-fa=
reast-font-family:
Arial'><span style=3D'mso-list:Ignore'>(d)<span style=3D'font:7.0pt "Times =
New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
12.0pt;font-family:Arial'>Agents shall issue to each Customer, for each
Customer Payment collected, a receipt after the Customer Payment is process=
ed
through the UDC Payment Entry System which clearly itemizes the amount of s=
uch
Customer Payment, the date the Customer Payment is processed through the UDC
Payment Entry System (&#8220;Payment Date&#8221;), the Customer account or =
pin
number and the confirmation number if provided.<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:10.0pt;font-family:Arial'>Subject to the receipt of
available funds in cash, a Customer Payment shall be deemed collected by Ag=
ent
upon the issuance by Agent to the Customer of a transaction receipt. </span=
><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Agent shall use its best efforts to
record all Customer transaction data to UDC at the destination and in the
format requested by UDC within five (5) minutes of accepting such Customer
Payment.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in'><span style=3D'font-=
size:7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.75in;text-indent:-.25in;
mso-list:l3 level1 lfo3;tab-stops:list .75in'><![if !supportLists]><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-fa=
reast-font-family:
Arial'><span style=3D'mso-list:Ignore'>(e)<span style=3D'font:7.0pt "Times =
New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
12.0pt;font-family:Arial'>In the event a Customer disputes receipt of a
Customer Payment and the Customer makes a claim that Customer Payment was
received by such Agent and provides sufficient proof of such transaction, A=
gent
will perform an investigation</span><span style=3D'font-size:7.0pt;mso-bidi=
-font-size:
10.0pt;font-family:Arial'> and use its best efforts to reconcile and resolve
such dispute and claim</span><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>.<span style=3D'mso-spacerun:yes'>&nbsp; </span>A=
gent
shall respond to UDC regarding the results of the investigation of the Cust=
omer
Payment and forward copies of all such information and documentation to
UDC.<span style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in'><span style=3D'font-=
size:7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.75in;text-indent:-.25in;
mso-list:l3 level1 lfo3;tab-stops:list .75in'><![if !supportLists]><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-fa=
reast-font-family:
Arial'><span style=3D'mso-list:Ignore'>(f)<span style=3D'font:7.0pt "Times =
New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
11.0pt;font-family:Arial'>All Agents will automatically receive privileges =
to
process any and all products and services provided by UDC unless stated
otherwise.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Processing a produ=
ct or
service constitutes your acknowledgement that you have read and understand =
the
terms as stated herein and on <a href=3D"http://www.udcpay.com/">www.udcpay=
.com</a>
and agree to be bound by such terms.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>UDC, in its sole discretion, may modify, alter or change the above r=
ates
from time-to-time in accordance with its own terms and policies, by providi=
ng
Agent written notice on <a href=3D"http://www.udcpay.com/">www.udcpay.com</=
a>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent&#8217;s continued use of the=
 UDC
payment entry system, including purchasing products and services in accorda=
nce
with this Agreement, shall be deemed Agent&#8217;s acceptance of such modif=
ied
rates.</span><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-=
family:
Arial'><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in'><span style=3D'font-=
size:7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.75in;text-indent:-.25in;
mso-list:l3 level1 lfo3;tab-stops:list .75in'><![if !supportLists]><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-fa=
reast-font-family:
Arial'><span style=3D'mso-list:Ignore'>(g)<span style=3D'font:7.0pt "Times =
New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
10.0pt;font-family:Arial'>Agent shall comply and conform with the Accepted
Industry Standards in performing the Agent Services hereunder.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>&#8220;Accepted Industry
Standards&#8221; shall include and consist of those procedures and practices
that satisfy the following:<span style=3D'mso-spacerun:yes'>&nbsp; </span>(=
i)
meet at least the same standards that Agent follows in exercising reasonable
care in providing similar services for other persons; (ii) comply with all
applicable federal, state and local laws; and (iii) give due consideration =
to
the customary industry standards and practices of prudent companies that
provide similar services and the reliance of UDC on Agent to provide the Ag=
ent
Services hereunder.<span style=3D'mso-spacerun:yes'>&nbsp; </span></span><s=
pan
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 2.3<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:.25in'><u><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>CONSI=
DERATION<o:p></o:p></span></u></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>Agent shall receive a fee for accepting and
processing each Customer Payment and for the remittance of such Customer
Payment to UDC (an &quot;Agent Fee&quot;).<span style=3D'mso-spacerun:yes'>=
&nbsp;
</span>The amount of the Agent Fee shall be defined in &#8220;Attachment
B&#8221; and posted on www.udcpay.com</span><span style=3D'font-size:7.0pt;
mso-bidi-font-size:10.0pt;font-family:Arial'>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>This Agent Fee will cover all
operating and administrative costs of Agent incurred in providing Agent
Services, including, but not limited to, Agent management, payment processi=
ng
and collection, signage, receipt generation, bank wire transfer(s), automat=
ed
clearing house (&#8220;ACH&#8221;) transfers and daily account and remittan=
ce
balancing.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Each Agent Fee wil=
l be
retained by Agent after the Customer Payment is collected and processed thr=
ough
the Voice Payment Entry System or Computer Payment Entry System by Agent and
the funds remitted to UDC hereunder.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Agent shall levy and collect sales tax as required by Federal, State=
 or
local law or regulation.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent
shall solely be responsible for the collection and remittance of those taxe=
s to
the appropriate taxing authorities.<span style=3D'mso-spacerun:yes'>&nbsp;
</span><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Section 2.4<o:p></o:p></span>=
</p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><u>REPORTS<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>UDC will make available to Agent reports
(&#8220;Agent Reports&#8221;) of all Customer Payments received by Agent at
such Agent&#8217;s request in the event of a Customer Payment amount
discrepancy.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Upon request of =
UDC,
Agent shall supply reasonable documentation supporting any payment transact=
ion
related to the Agent Services hereunder.<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Section 2.5<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><u>TRANSMISSION
OF CUSTOMER PAYMENT TO UDC<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;font-family:Ari=
al'>Agent
shall initiate necessary transactions to provide the value for settlement of
funds due to Providers in a bank account designated in writing to UDC on the
form attached hereto as &#8220;Authorization Agreement for Pre-Arranged
Payments (Debits)&#8221; (&#8220;Agent Collection Account&#8221;).<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Deposited funds will be transferre=
d by
UDC or its designated contractor from Agent. <span
style=3D'mso-spacerun:yes'>&nbsp;</span>The day a Customer Payment or Pin is
accepted and processed through the UDC Payment Entry System is defined as t=
he
&quot;Transaction Day&quot;.<span style=3D'mso-spacerun:yes'>&nbsp; </span>=
Agent
shall initiate necessary transactions into the Agent Collection Account to
provide the &#8220;Settlement Funds&#8221; due to UDC on the second (2<sup>=
nd</sup>)
business day following the Transaction Day in an amount equal to the total
Transactions (&quot;Transfer Transaction&quot;).<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Settlement Funds are the aggregate=
 of
all amounts processed through the UDC Payment Entry System as of the applic=
able
Transaction Day less all fees.<span style=3D'mso-spacerun:yes'>&nbsp; </spa=
n>For
Transactions processed through the UDC Payment Entry System on a holiday,
national or otherwise, or on a day banks are closed, Agent shall have the
Settlement Funds available for transfer to UDC the following business day.<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>Any funds credited to Agent which =
were
designated as a Customer Payment shall be considered as held in trust for t=
he
interim pending deposit to the designated Agent Collection Account.<span
style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;font-family:Arial'>Failure to credit Settlement Fu=
nds
the date it is due to UDC constitutes a material breach of this Agreement.<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'mso-bidi-font-weigh=
t:bold'>If
any automated clearing house (&#8220;ACH&#8221;) is returned or dishonored =
for
any reason,</span> Agent<span style=3D'mso-bidi-font-weight:bold'> agrees t=
o pay
UDC a charge of $30.00.<span style=3D'mso-spacerun:yes'>&nbsp; </span>If th=
e same
amount is returned or dishonored more than once, this will serve as definite
and final proof of nonpayment. <b><span style=3D'mso-spacerun:yes'>&nbsp;</=
span></b></span>Agent
may view all amounts, including but not limited to Settlement Funds, via
reports on UDC&#8217;s real-time website.<span style=3D'mso-spacerun:yes'>&=
nbsp;
</span>Agent may use these reports for accounting purposes in lieu of invoi=
ces
from UDC.<span style=3D'mso-spacerun:yes'>&nbsp; </span>If the Settlement A=
mount
paid is less than the aggregate of the amounts processed through the UDC
Payment Entry System as of an applicable Transaction Day (as adjusted for a=
ll
fees), when such insufficiency is determined, then Agent shall fund in its =
next
payment to the designated bank account an amount equal to the
insufficiency.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent shall ho=
ld all
amounts due UDC, including but not limited to Settlement Funds, in trust on
behalf of UDC only.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent
acknowledges and agrees it holds only bare legal title to any amounts, incl=
uding
but not limited to Settlement Funds, due UDC and UDC holds equitable title =
to
such amounts.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent shall not
deduct, offset, delay, assign, or alienate amounts due to UDC.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent shall not allow any amounts =
due to
UDC to be subject to the attachment, levy, garnishment or any other process=
, at
law or in equity, by a third party.<span style=3D'mso-spacerun:yes'>&nbsp;
</span><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;font-family:Arial'>In the event Agent fails to tim=
ely
transfer the Settlement Funds to UDC then UDC may suspend Agent&#8217;s abi=
lity
to use the UDC Payment Entry System until all Settlement Funds are
received.<span style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'mso-=
bidi-font-weight:
bold'>To re-activate the account, UDC may request a security deposit and/or=
 a
reconnect fee in a form and amount to be determined by UDC at its sole
discretion. </span>UDC may elect in its sole discretion to allow Agent to u=
se
the UDC Payment Entry System.<span style=3D'mso-spacerun:yes'>&nbsp; </span=
><span
style=3D'mso-bidi-font-weight:bold'>Agent acknowledges and agrees that fund=
s UDC
or its designated contractor debits are on behalf of Providers and as such =
in
the event of a return or dishonored notice, UDC and any Provider may direct=
ly
or indirectly demand the funds and/or suspend or terminate Agent&#8217;s
account without notice. </span><span style=3D'mso-spacerun:yes'>&nbsp;</spa=
n><span
style=3D'mso-bidi-font-weight:bold'>In the event UDC or its designated cont=
ractor
is unable to successfully debit</span> Agent<span style=3D'mso-bidi-font-we=
ight:
bold'>&#8217;s bank account after two (2) attempts, </span>Agent <span
style=3D'mso-bidi-font-weight:bold'>agrees to pay all costs of collections,
including but not limited to all court costs, and reasonable attorney&#8217=
;s
fees, plus interest.<span style=3D'mso-spacerun:yes'>&nbsp; </span>UDC shal=
l not
be liable for bank account errors in entries caused by </span>Agent<span
style=3D'mso-bidi-font-weight:bold'> or</span> Agent<span style=3D'mso-bidi=
-font-weight:
bold'>&#8217;s bank.<span style=3D'mso-spacerun:yes'>&nbsp; </span></span>A=
gent <span
style=3D'mso-bidi-font-weight:bold'>shall be solely liable for all fees and=
 costs
associated with </span>Agent<span style=3D'mso-bidi-font-weight:bold'>&#821=
7;s
bank account.</span><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;font-family:Arial'>UDC may modify the above transf=
er of
funds schedule and/or require other payment guarantees if Agent fails to cr=
edit
any Settlement Funds on time or if Agent&#8217;s creditworthiness
declines.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent authorizes UD=
C to
establish Agent&#8217;s creditworthiness through investigating options such=
 as
credit history, credit reporting agencies, bank statements and references.<=
o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;font-family:Ari=
al'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Section 2.6<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><u><span style=3D'font-size=
:7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>RISK OF LOSS<o:p></o:p></span>=
</u></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>Agent shall safeguard, protect, segregate and rec=
ord
all Customer Payments received from Customers, as well as all data relating=
 to
such Customers and Customer Payments.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Agent shall be liable to UDC for the amount of any lost, stolen, or
misappropriated Customer Payments due to UDC under this Agreement regardles=
s of
how the funds became lost, missing, or stolen, whether by honest or dishone=
st
act, or any intentional or unintentional act, of any person, or mysteriousl=
y,
or by an act of God, or by any other cause or event.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Immediately upon Agent's discovery=
 that
Customer Payments received have been lost, stolen, or misappropriated, Agent
shall notify UDC and shall reimburse UDC the amount thereof, together with
interest and any other costs or damages UDC may have incurred, in whole or =
in
part, in the collection of such Customer Payments.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The undersigned authorized
representative(s) and all owners of Agent&#8217;s business agree to be
personally liable for any and all Customer Payments received by Agent.<o:p>=
</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>Agent expressly agrees that providing Agent Servi=
ces
and the use of the Services under this Agreement is at Agent&#8217;s sole
risk.<span style=3D'mso-spacerun:yes'>&nbsp; </span>UDC shall not be held l=
iable
for no inventory on a Provider Service nor shall UDC be held liable for bad
pins distributed by the UDC Payment Entry System.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>UDC does not warrant or guarantee =
any
income to Agent as a result of this Agreement.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent agrees to be responsible for=
 all
Customer Payments sent from any and all of Agent&#8217;s location(s), wheth=
er
by telephone or computer, processed through the UDC system.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>UDC does not represent or warrant =
that
the Voice Payment Entry System or Computer Payment Entry System will be
uninterrupted or error free nor does UDC make any representation or warrant=
y as
to the results to be obtained from the use of the Voice Payment Entry Syste=
m or
Computer Payment Entry System.<span style=3D'mso-spacerun:yes'>&nbsp; </spa=
n><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>Agent acknowledges and agrees that Agent is solely
responsible for all activities transacted using Agent&#8217;s system
identification number, password or account information whether by Agent, its
employees, principles, officers, directors, affiliates or any other third
parties.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent further agrees=
 that
UDC will not be liable for any loss or damages arising from unauthorized us=
e of
Agent&#8217;s account by way of any fraudulent use of Agent&#8217;s
identification number, password or account information by any third party,
including but not limited to any affiliate of Agent and any other third
party.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent will indemnify,
defend, and hold UDC harmless from and against any claims, losses, actions,
demands, liabilities and damages, including attorney&#8217;s fees, resulting
from any unauthorized use of any usernames, identification numbers or passw=
ords
issued to Agent by UDC.<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;
</span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>In the event of a dispute between Agent and UDC,
Agent shall be required to submit written notice of such dispute, error or
discrepancy within fifteen (15) days of the disputed transaction.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>In the event that Agent fails to s=
ubmit
notice of such a dispute within such time frame, such failure shall be deem=
ed a
waiver of any right to dispute such transaction thenceforth.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>In no event shall UDC be liable for
incidental, special, consequential or punitive damages, including, but not
limited to lost revenue or profits, in connection with this Agreement even =
if
UDC was advised of the possibility of such damages.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The sole and exclusive liability o=
f UDC
and remedy of Agent hereunder (including negligence) shall be general money
damages not to exceed the amount of the item subject to claim or dispute,
regardless of the characterization of such action, with a maximum aggregate
amount of liability being $100.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Agent agrees that Agent will not in any way hold UDC responsible for=
 any
selection or retention of, or the acts or omissions of, third parties in
connection with the Agent Services or this Agreement.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>Agent will in any event unequivocally indemnify U=
DC
against all loss, expense and damages (including any loss of or damage to
equipment if applicable), together with interest, sustained by UDC, as a re=
sult
of or arising from, in whole or part, any act or omission to act, whether
intentional, unintentional or negligent, by Agent or Agent&#8217;s
employee&#8217;s or other representatives, whether or not within the scope =
of
their employment, in connection with the Agent Services or otherwise relati=
ng
to this Agreement.<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;
</span>Damages or indemnity payable to UDC will in every case include
reasonable collection costs and attorneys&#8217; fees whether or not a laws=
uit
is commenced, and interest or any other costs or expenses incurred under th=
is
Agreement.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'text-indent:-.25in'><span style=3D'fo=
nt-size:
7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'>Section 2.7<o:p></o:p></=
span></p>

<p class=3DMsoBodyTextIndent style=3D'text-indent:-.25in'><span style=3D'fo=
nt-size:
7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'><span style=3D'mso-tab-c=
ount:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u>CHANGE =
OF
OWNERSHIP<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>Agent agrees to notify UDC of any change in owner=
ship
in writing three (3) business days before such change.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent shall be responsible for all
payments processed done out of stores registered under Agent regardless of
whether such stores were sold, unless UDC received the required notificatio=
n as
above.<span style=3D'mso-spacerun:yes'>&nbsp; </span>All equipment supplied=
 by
UDC to Agent shall be returned to UDC in good working condition, except wear
and tear, before the change in ownership or Agent agrees to pay the full va=
lue
of such equipment to UDC.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'text-indent:-.25in'><span style=3D'fo=
nt-size:
7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'>Section 2.8<o:p></o:p></=
span></p>

<p class=3DMsoBodyTextIndent style=3D'text-indent:-.25in'><span style=3D'fo=
nt-size:
7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'><span style=3D'mso-tab-c=
ount:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u>EQUIPME=
NT<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>Agent acknowledges that any UDC equipment given to
Agent for payment processing is UDC&#8217;s property and that Agent may be
requested to return this equipment back to UDC at any time.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Upon request by UDC, Agent agrees =
to
return any equipment to UDC in a timely manner.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>If, for any reason, Agent is unabl=
e to
return UDC&#8217;s equipment, Agent agrees to pay UDC the full market value=
 for
such equipment.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent agrees =
to
keep all equipment supplied by UDC at the store(s) registered with UDC and
shall be prohibited from moving such equipment outside the store(s).<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent agrees to allow access to an=
y UDC
representative to Agent&#8217;s store(s) for the purposes of this Agreement=
 and
for the purpose of fulfilling UDC&#8217;s obligations to any vendors.<o:p><=
/o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Section 2.9<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><u>PAYMENT
GUARANTEE<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent2><span style=3D'font-size:7.0pt;mso-bidi-font-=
size:
12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp; </span>UDC
reserves the right, in its sole discretion, to require and choose one payme=
nt
guarantee option for each Agent for the term of this Agreement.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent agrees to accept and comply =
with
the payment guarantee requirement in return for UDC&#8217;s approval to bec=
ome
an Agent.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Failure by an Agent=
 to
comply with the payment guarantee option may result in the Agent account be=
ing
suspended or terminated.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Unle=
ss
otherwise stated in writing, UDC may choose from the following payment
guarantee options for each Agent:<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent2><span style=3D'font-size:7.0pt;mso-bidi-font-=
size:
12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:.75in;text-indent:-.25in;
mso-list:l2 level1 lfo6;tab-stops:list .75in'><![if !supportLists]><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-fa=
reast-font-family:
Arial'><span style=3D'mso-list:Ignore'>(a)<span style=3D'font:7.0pt "Times =
New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
12.0pt;font-family:Arial'>Agent applies for, receives and maintains a Finan=
cial
Guarantee Surety Bond(s) covering all of Agent&#8217;s store locations, at
Agent&#8217;s sole cost, in force for the duration of this Agreement statin=
g a
financial guarantee of any and all Customer Payments in an amount of at lea=
st
$10,000.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent shall name UDC=
 as a
beneficiary on each Surety Bond obtained under the terms of this
Agreement.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent shall receive
approval by UDC of the bonding agency prior to Agent applying for and recei=
ving
a Surety Bond for the purpose of this Agreement.<span
style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:0in;text-indent:0in'><sp=
an
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:.75in;text-indent:-.25in;
mso-list:l2 level1 lfo6;tab-stops:list .75in'><![if !supportLists]><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-fa=
reast-font-family:
Arial'><span style=3D'mso-list:Ignore'>(b)<span style=3D'font:7.0pt "Times =
New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
12.0pt;font-family:Arial'>Agent is placed on a prepay status.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>UDC reserves the right to hold cre=
dits
to Agent&#8217;s account until any checks are cleared by the banking
institution.<span style=3D'mso-spacerun:yes'>&nbsp; </span>When Agent&#8217=
;s
account is depleted of funds, Agent&#8217;s account will automatically be
suspended.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Other terms to be
provided by UDC.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:0in;text-indent:0in'><sp=
an
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in;mso-list=
:l9 level1 lfo2;
tab-stops:list .25in'><![if !supportLists]><span style=3D'font-size:7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>3.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><u><span style=3D'font-size:7.0pt;mso-bidi-f=
ont-size:
12.0pt;font-family:Arial'>TERM<o:p></o:p></span></u></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>The initial term of the Service shall continue for
thirty-six (36) months (&quot;Initial Term&quot;).<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Upon completion of the Initial Ter=
m,
this Agreement shall automatically renew for additional 12 (twelve) month
periods (each a &#8220;Renewal Term&#8221;) unless either party hereto gives
the other party ninety (90) days prior written notice of its intention to
terminate the Agreement.<span style=3D'mso-spacerun:yes'>&nbsp; </span></sp=
an><span
style=3D'font-size:7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'>Agent=
 will
incur no monetary penalty for early termination.</span><span style=3D'font-=
size:
7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in;mso-list=
:l9 level1 lfo2;
tab-stops:list .25in'><![if !supportLists]><span style=3D'font-size:7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>4.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><u><span style=3D'font-size:7.0pt;mso-bidi-f=
ont-size:
12.0pt;font-family:Arial'>TERMINATION<o:p></o:p></span></u></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>UDC may immediately terminate this Agreement for
cause deliverable orally or in writing at the discretion of UDC in the event
(i) Agent fails to comply with any material term or condition of this
Agreement; (ii) it is determined that UDC's or Agents' involvement in the
Service is prohibited by law or regulation; (iii) there is a material adver=
se
change in Agent's financial condition or operations; or (iv) at the request=
 of
Provider(s).<span style=3D'mso-spacerun:yes'>&nbsp; </span>This Agreement m=
ay
also be terminated by suspending Agent&#8217;s account in the event that UDC
determines that Agent&#8217;s activities could endanger the safety and/or
soundness of UDC&#8217;s business or in the event that ACH debits as submit=
ted
by UDC or its designated contractor are returned, refused or dishonored for=
 any
reason.<span style=3D'mso-spacerun:yes'>&nbsp; </span>UDC may immediately
terminate this Agreement without cause deliverable orally or in writing at =
the
discretion of UDC in the event that the Agreement between UDC and Providers=
 is
terminated or by request of a Provider.<span style=3D'mso-spacerun:yes'>&nb=
sp;
</span>UDC may cease or limit the availability of any or all Provider produ=
cts
available to Agent at the request of Provider(s) without liability to Agent=
. <span
style=3D'mso-spacerun:yes'>&nbsp;</span>Agent&#8217;s UDC may terminate this
Agreement without cause by providing reasonable prior written notice to
Agent.<span style=3D'mso-spacerun:yes'>&nbsp; </span>For the mutual protect=
ion of
UDC and Agent, UDC is authorized to suspend service to Agent or an individu=
al
location, without any liability, in the event UDC, in its sole discretion,
determines that suspension of service is in its or Agent&#8217;s best
interests.<span style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span>=
</p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>Agent may terminate this Agreement for cause
deliverable in writing in the event (i) Agent stops processing payments for
Providers; or (ii) UDC enters formal insolvency proceedings.<o:p></o:p></sp=
an></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>All obligations for transactions made prior to the
termination shall survive termination.<span style=3D'mso-spacerun:yes'>&nbs=
p;
</span>UDC shall not be liable to Agent for damages (including lost profits=
 due
to foregone sales) due to termination.<span style=3D'mso-spacerun:yes'>&nbs=
p;
</span>Upon any termination of this Agreement, Agent shall cooperate in good
faith and take reasonable actions to assist with the termination of this
Agreement so that any Customer Payments being processed, collected or
transferred at the time of or following the termination are properly report=
ed
and accounted for and transferred to UDC.</span><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in;mso-list=
:l9 level1 lfo2;
tab-stops:list .25in'><![if !supportLists]><span style=3D'font-size:7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>5.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><u><span style=3D'font-size:7.0pt;mso-bidi-f=
ont-size:
12.0pt;font-family:Arial'>TERMS &amp; CONDITIONS<o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Secti=
on 5.1<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span><u>AUTHORITY<o:p></o:p></u></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Each =
person
who signs below for a corporation, partnership, or other entity personally
represents that he or she has the authority to bind such entity.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>A signature by one partner constit=
utes
acknowledgment and agreement by all partners to be bound by this
Agreement.<span style=3D'mso-spacerun:yes'>&nbsp; </span></span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>This
Agreement may be executed by the parties hereto in any number of counterpar=
ts,
each of which, when executed and delivered, shall be deemed to be an origin=
al
and all of which shall constitute together but one and the same document. T=
his
Agreement may be executed in counterpart by facsimile signature, which
signatures shall be treated as, and shall have the effect of, original and =
manually
executed signatures.<span style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o=
:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'><o:p>&=
nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>Agent =
agrees
that it has all licenses, waivers, or any other consents necessary to perfo=
rm
the Services hereunder.<span style=3D'mso-spacerun:yes'>&nbsp; </span>This
Agreement does not give Agent the authority to make any representation on
behalf of any Provider.</span><span style=3D'font-size:7.0pt;mso-bidi-font-=
size:
12.0pt;font-family:Arial'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 5.2<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><u><span style=3D'font-size=
:7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>ASSIGNMENT<o:p></o:p></span></=
u></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>Neither this Agreement, nor any of the rights
hereunder, including any transactions due, may be assigned to any other per=
son
or entity including a successor in interest, whether by operation of law or
otherwise, without prior written consent of the non-assigning party.<o:p></=
o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 5.3<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u>BINDING
ON SUCCESSORS AND ASSIGNS<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>This Agreement will inure to the benefit of and be
binding upon the undersigned parties and entities, and their respective leg=
al
representatives, <o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>successors, and assigns.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 5.4<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u>GOVERNING
LAW<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>This Agreement shall be construed and enforced in
accordance with, and shall be governed by, the laws of the State of Florida
without regard to its conflicts of laws principles.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent and UDC shall comply with th=
e laws
and regulations applicable to the operation of the Service.<o:p></o:p></spa=
n></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>In the
event that litigation is required due to a breach of this Agreement, such
litigation shall be conducted in Broward County, Florida.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The parties hereto consent to pers=
onal
jurisdiction and venue exclusively in the City and State of Florida, includ=
ing,
without limitation, all pretrial proceedings and party depositions brought =
with
respect to this Agreement.<span style=3D'mso-spacerun:yes'>&nbsp; </span>The
non-prevailing party shall pay all the prevailing party&#8217;s
attorney&#8217;s fees and any other costs arising as a result of such
action.<span style=3D'mso-spacerun:yes'>&nbsp; </span>It shall not be deeme=
d a
waiver if UDC delays or fails to enforce any of its rights or remedies under
this Agreement.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 5.5<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u>INDEMNIF=
ICATION<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>Each party (the &#8220;Indemnitor&#8221;) agrees =
to
indemnify and hold harmless the other and its affiliates, officers, agents =
and
employees (the &#8220;Indemnified Party&#8221;) from any losses, liabilitie=
s,
claims, or demands (including the costs, expenses, and attorneys' fees on
account thereof, but excluding consequential loss of profit or incidental
damages) for injuries (including death) to persons, or damage, including th=
eft,
to property or any other damages arising out of any failure of the Indemnit=
or
to perform its obligations hereunder or connected </span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'>with =
any
breach of any representative, warranty or covenant of the Indemnitor hereun=
der,
unless such losses, liabilities, clauses, demands or damages result from the
negligence, bad faith or willful misconduct of the Indemnified Party.</span=
><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp; </span>Each party agrees to defend the ot=
her
party at the other party's request, against any such liability, claim, or
demand.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Each party agrees to =
notify
the other promptly of any written claims or demands against itself for which
the other party is responsible hereunder.<span style=3D'mso-spacerun:yes'>&=
nbsp;
</span><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 5.6<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u>CONFIDEN=
TIALITY<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>Agent shall not itself, nor allow its stores or
business location employees to, either directly or indirectly disclose,
disseminate, or make use of the confidential business or technical informat=
ion
provided to Agent at any time by UDC (&quot;Confidential Information&quot;)=
.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Confidential Information is the
exclusive property of UDC and shall include, without limitation, the terms =
and
conditions of this Agreement, all information which is not publicly availab=
le,
whether oral or written, relating to the Customers, Customer Payments,
policies, procedures, manuals, computer information and programs, software
programs and components, financial pricing, sales of the Service, sales of =
the
Provider Services, passwords and all other sources of information that UDC
deems to be confidential.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Age=
nt
acknowledges the unauthorized disclosure or use of Confidential Information
would cause UDC irreparable harm and significant injury such that monetary
damages would be difficult to ascertain.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 5.7<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u>INTELLEC=
TUAL
PROPERTY<o:p></o:p></u></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Agent
agrees that UDC owns all rights, title and interest in and to the UDC payme=
nt
entry system and CellTrack and any other technology or property provided by=
 UDC
and used by Agent or any third party to access the UDC payment entry system,
including all intellectual property rights herein.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent acknowledges and agrees that=
 UDC
is, and UDC or its successors or assigns shall remain, the owner of the UDC
Intellectual Property.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent =
shall acquire
no ownership interest in the UDC Intellectual Property through this Agreeme=
nt
or otherwise and all use by Agent of the UDC Intellectual Property shall in=
ure
solely to the benefit of UDC.<span style=3D'mso-spacerun:yes'>&nbsp; </span=
>Agent
agrees not to use any UDC logos or trademarks contrary to what is agreed up=
on
unless requested in writing and authorized by an officer of UDC.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent acknowledges that the UDC pa=
yment
entry system and CellTrack, their structure, organization and source code
constitute valuable trade secrets of UDC.<span style=3D'mso-spacerun:yes'>&=
nbsp;
</span>Accordingly, Agent agrees that it will not, and will not permit any
third party, to access the UDC payment entry system or CellTrack other than
those parties authorized under this Agreement.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent agrees that it shall:<o:p></=
o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:45.0pt;text-align:justify;text-in=
dent:
-9.0pt'><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>a. cooperate fully with UDC, in efforts to obtain, perfect and enfor=
ce
UDC's rights in the UDC Intellectual Property;<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:45.0pt;text-align:justify;text-in=
dent:
-9.0pt'><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>b. not, directly or indirectly, contest or assist any other party in
contesting the validity or enforceability or UDC's ownership of the UDC
Intellectual Property;<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:45.0pt;text-align:justify;text-in=
dent:
-9.0pt'><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>c. not do or permit to be done any action or thing which will in any=
 way
impair or damage UDC&#8217;s rights in and to the UDC Intellectual Property=
; <o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:45.0pt;text-align:justify;text-in=
dent:
-9.0pt'><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>d. prior to issuing documents or materials including the UDC Tradema=
rks,
obtain UDC&#8217;s approval, use the UDC Intellectual Property only in the =
form
and manner approved by UDC or in such other form or manner as approved in
advance by UDC, which approval shall not be unreasonably withheld; and<o:p>=
</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:45.0pt;text-align:justify;text-in=
dent:
-9.0pt'><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>e. prior to creating or distributing documents or materials including
the UDC Intellectual Property or selling products or services embodying the=
 UDC
Intellectual Property, obtain the approval of UDC; and<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:45.0pt;text-align:justify;text-in=
dent:
-9.0pt'><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>f. not modify, create derivative works of, adapt, alter or translate=
 the
UDC payment entry system or CellTrack; and<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:45.0pt;text-align:justify;text-in=
dent:
-9.0pt'><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>g. not sublicense, lease, rent, loan, distribute, provide access to,=
 or
otherwise transfer any aspect of the UDC payment entry system or CellTrack =
to
any third party not authorized under this Agreement; and<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:45.0pt;text-align:justify;text-in=
dent:
-9.0pt'><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>h. not reverse engineer, decompile, disassemble, or otherwise derive=
 or
determine or attempt to derive or determine the source code (or the underly=
ing
ideas, algorithms, structure or organization) of any aspect of the UDC paym=
ent
entry system or CellTrack; and<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:45.0pt;text-align:justify;text-in=
dent:
-9.0pt'><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>i. not copy, install or use the UDC payment entry system or CellTrack
except as expressly permitted in this Agreement.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:45.0pt;text-indent:-9.0pt'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Agent
further agrees to indemnify UDC for any losses as a result of any violation=
 of
these provisions by Agent, its employees, principles, officers, directors or
affiliates.<span style=3D'mso-spacerun:yes'>&nbsp; </span>There are no impl=
ied
licenses under this Agreement and any rights not expressly granted to Agent
hereunder are reserved by UDC.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Agent is not granted any patent license under this Agreement.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent further agrees that its righ=
ts to
the use of the UDC payment entry system and/or CellTrack are provided solel=
y by
this Agreement and are limited by the life, terms and conditions of this
Agreement.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify;text-inde=
nt:-.25in'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Secti=
on 5.8<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify;text-inde=
nt:-.25in'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span><u>WARRANTIES<o:p></o:p></u></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Each =
party
warrants that is has full right, power, and authority </span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'>to en=
ter
into this Agreement and to perform its obligations and duties under this
Agreement, and that the performance of such obligations and duties hereunder
does not and will not conflict with or result in a breach of any other
agreements of such party or any judgment, order, or decree by which such pa=
rty
is bound.<span style=3D'mso-spacerun:yes'>&nbsp; </span>UDC shall not be he=
ld
liable for any data Agent stores or transfers as a result of this Agreement=
.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'>THE UDC
PAYMENT ENTRY SYSTEM AND ANY PRODUCT OR SERVICE SOLD USING THE UDC PAYMENT
ENTRY SYSTEM ARE PROVIDED </span><span style=3D'font-size:7.0pt;mso-bidi-fo=
nt-size:
9.5pt;font-family:Arial'>&#8220;</span><span style=3D'font-size:7.0pt;mso-b=
idi-font-size:
8.0pt;font-family:Arial'>AS IS</span><span style=3D'font-size:7.0pt;mso-bid=
i-font-size:
9.5pt;font-family:Arial'>,&#8221;</span><span style=3D'font-size:7.0pt;
mso-bidi-font-size:8.0pt;font-family:Arial'> WITHOUT ANY WARRANTIES OF ANY =
KIND
WHETHER EXPRESS OR IMPLIED</span><span style=3D'font-size:7.0pt;mso-bidi-fo=
nt-size:
9.5pt;font-family:Arial'>,</span><span style=3D'font-size:7.0pt;mso-bidi-fo=
nt-size:
8.0pt;font-family:Arial'> OR BASED ON STATUTE</span><span style=3D'font-siz=
e:
7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>,</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'> TORT =
OR ANY
OTHER THEORY OF LAW</span><span style=3D'font-size:7.0pt;mso-bidi-font-size=
:9.5pt;
font-family:Arial'>.<span style=3D'mso-spacerun:yes'>&nbsp; </span>UDC </sp=
an><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'>EXPRES=
SLY
DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>,</spa=
n><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'> FITNE=
SS FOR
A PARTICULAR PURPOSE</span><span style=3D'font-size:7.0pt;mso-bidi-font-siz=
e:
9.5pt;font-family:Arial'>,</span><span style=3D'font-size:7.0pt;mso-bidi-fo=
nt-size:
8.0pt;font-family:Arial'> TITLE</span><span style=3D'font-size:7.0pt;mso-bi=
di-font-size:
9.5pt;font-family:Arial'>,</span><span style=3D'font-size:7.0pt;mso-bidi-fo=
nt-size:
8.0pt;font-family:Arial'> AND NON</span><span style=3D'font-size:7.0pt;
mso-bidi-font-size:9.5pt;font-family:Arial'>-</span><span style=3D'font-siz=
e:
7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'>INFRINGEMENT OF THIRD PAR=
TY
RIGHTS</span><span style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-f=
amily:
Arial'>.</span><span style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;
font-family:Arial'> AGENT ACKNOWLEDGES AND AGREES THAT UDC MAKES NO
REPRESENTATIONS AS TO THE REASONABLENESS</span><span style=3D'font-size:7.0=
pt;
mso-bidi-font-size:9.5pt;font-family:Arial'>, A</span><span style=3D'font-s=
ize:
7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'>PPROPRIATENESS</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>,</spa=
n><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'> QUALI=
TY OR
FUNCTIONALITY OF PRODUCTS AND SERVICES PROVIDED BY UDC THROUGH THE UDC PAYM=
ENT
ENTRY SYSTEM</span><span style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;
font-family:Arial'>. A</span><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
8.0pt;font-family:Arial'>NY PRODUCT OR SERVICE PROVIDED BY UDC TO AGENT OR
OTHER THIRD PARTIES ON AGENT</span><span style=3D'font-size:7.0pt;mso-bidi-=
font-size:
9.5pt;font-family:Arial'>&#8217;</span><span style=3D'font-size:7.0pt;mso-b=
idi-font-size:
8.0pt;font-family:Arial'>S BEHALF ARE ON AN </span><span style=3D'font-size=
:7.0pt;
mso-bidi-font-size:9.5pt;font-family:Arial'>&#8220;</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'>AS IS<=
/span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>&#8221=
; </span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'>BASIS =
AND
SUBJECT TO THE TERMS AND CONDITIONS IMPOSED BY SUCH PRODUCT</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>&#8217=
;</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'>S RESP=
ECTIVE
CARRIER AS WELL AS THE ABILITY OF SUCH CARRIER TO FULFIL SUCH TERMS AND
CONDITIONS</span><span style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;
font-family:Arial'>.</span><span style=3D'font-size:7.0pt;mso-bidi-font-siz=
e:
8.0pt;font-family:Arial'> IN NO EVENT SHALL UDC BE HELD LIABLE FOR THE QUAL=
ITY</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>,</spa=
n><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'> THE T=
ERMS
OR CONDITIONS</span><span style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;
font-family:Arial'>,</span><span style=3D'font-size:7.0pt;mso-bidi-font-siz=
e:
8.0pt;font-family:Arial'> OR THE FAILURE OF ANY CARRIER TO FULFILL ITS
OBLIGATIONS OF ANY PRODUCT OR SERVICE SUPPLIED THROUGH THE UDC PAYMENT ENTRY
SYSTEM</span><span style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-f=
amily:
Arial'>.<span style=3D'mso-spacerun:yes'>&nbsp; </span>AGENT AGREES THAT THE
PROVISIONS OF THIS SECTION ARE REASONABLE AND ARE FUNDAMENTAL ELEMENTS OF T=
HIS
AGREEMENT.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>I</spa=
n><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'>N NO E=
VENT
WILL UDC BE LIABLE TO AGENT OR ANY THIRD PARTY FOR ANY SPECIAL</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>,</spa=
n><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'> INCID=
ENTAL</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>,</spa=
n><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'> INDIR=
ECT OR
CONSEQUENTIAL DAMAGES OF ANY KIND INCLUDING THOSE RESULTING FROM DELAY OR
INTERRUPTION OF USE</span><span style=3D'font-size:7.0pt;mso-bidi-font-size=
:9.5pt;
font-family:Arial'>,</span><span style=3D'font-size:7.0pt;mso-bidi-font-siz=
e:
8.0pt;font-family:Arial'> MISTAKES, OMISSIONS, LOSS OR CORRUPTION OF DATA</=
span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>, </sp=
an><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'>VIRUSE=
S</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>,</spa=
n><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'> ERROR=
S,
DEFECTS, FAILURE OF PERFORMANCE OR LOST PROFITS</span><span style=3D'font-s=
ize:
7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>,</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'> ARISI=
NG
FROM OR RELATED TO THIS </span><span style=3D'font-size:7.0pt;mso-bidi-font=
-size:
9.5pt;font-family:Arial'>A</span><span style=3D'font-size:7.0pt;mso-bidi-fo=
nt-size:
8.0pt;font-family:Arial'>GREEMENT</span><span style=3D'font-size:7.0pt;
mso-bidi-font-size:9.5pt;font-family:Arial'>,</span><span style=3D'font-siz=
e:
7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'> THE UDC PAYMENT ENTRY SY=
STEM</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'> </spa=
n><span
style=3D'font-size:7.0pt;mso-bidi-font-size:8.0pt;font-family:Arial'>WHETHE=
R OR
NOT AGENT HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'>.</spa=
n><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
</o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
7.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify;text-inde=
nt:-.25in'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Secti=
on 5.9<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><u><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>REPRE=
SENTATION<o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>This
Agreement does not authorize Agent to make any representation on behalf of =
any
vendor and Agent shall obtain any such authorization from each vendor direc=
tly.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 5.10<o:p></o:p></span>=
</p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><u>ENTIRE
AGREEMENT<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>This Agreement constitutes the entire and sole
agreement between the undersigned parties with respect to the subject matter
hereof.<span style=3D'mso-spacerun:yes'>&nbsp; </span>This Agreement supers=
edes
all prior understandings, arrangements, or agreements related to the subject
matter hereof between the parties hereto not contained in this Agreement.<o=
:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Section 5.11<o:p></o:p></span>=
</p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><u>AMENDMENTS
&amp; MODIFICATIONS<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>Except as provided herein above, no modification,
renewal, extension, or waiver of any of the provisions of this Agreement sh=
all
be binding upon either party unless made in writing and signed by the parti=
es.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Section 5.=
12<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp; </span><u>NON-WAIVER
OF RIGHTS<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
10.0pt;font-family:Arial'>The failure of any party to insist upon or enforce
strict performance of any provision of this Agreement or to exercise any ri=
ght
under this Agreement will not be construed as a waiver or relinquishment of=
 its
rights to assert or rely upon any provision or right in that or any other
instance, and such provision or right will remain in full force and
effect.<span style=3D'mso-spacerun:yes'>&nbsp; </span></span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Section 5.=
13<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp; </span><u>SURVIVAL<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>If any provision of this Agreement is invalid,
illegal, or unenforceable, the balance of this Agreement shall remain in
effect, and if any provision is inapplicable to any person or circumstance,=
 it
shall nevertheless remain applicable to all other persons and
circumstances.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Any obligation=
s of
the parties under this Agreement which by their nature are intended to cont=
inue
beyond the termination hereof shall survive and be enforceable beyond the
termination.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Section 5.=
14<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp; </span><u>FORCE
MAJEURE<o:p></o:p></u></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>Neither party hereto shall be liable for any fail=
ure
of or delay in performance of its obligations under this Agreement to the
extent such failure or delay is due to circumstances beyond the reasonable
control of such party and could not be avoided by the exercise of due care =
of
such party.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Each party shall =
use
its best efforts to minimize the duration and consequences of any failure o=
f or
delay in performance.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Section 5.=
15<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp; </span><u>RIGHT
TO AUDIT<o:p></o:p></u></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Upon =
two
(2) business days notice to Agent, UDC shall have the right to examine and
audit the books and records, including but not limited to computer records,=
 of
Agent as they pertain to the Services of this Agreement during Agent's norm=
al
business hours.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Such books and
records shall be maintained in a manner that is sufficient and adequate to
enable the determination of: (1) the substantiation and accuracy of any
payments required to be made under his Agreement; and (2) compliance with t=
he
provisions of this Agreement.<span style=3D'mso-spacerun:yes'>&nbsp; </span=
>Agent
shall provide reasonable and diligent assistance to UDC or its representati=
ve
in connection with any examination or audit of Customer Payments accepted,
collected or remitted hereunder and the Agent Services provided hereunder.<=
span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Section 5.16<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:4.5pt'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;
</span><u>INDEPENDENT CONTRACTOR<o:p></o:p></u></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>It is
expressly agreed that the parties hereto are acting hereunder as independent
contractors and this agreement is not a joint venture, agency, partnership,=
 or
other similar business arrangement.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Under no circumstances shall any of the employees of one party be de=
emed
the employees of the other for any purpose.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Secti=
on
5.17<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span><u>INDEPENDENT
BUSINESS JUDGMENT<o:p></o:p></u></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify;text-inde=
nt:-.25in'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span>Agent</span><span
style=3D'font-size:7.0pt;mso-bidi-font-size:9.5pt;font-family:Arial'> repre=
sents
and warrants that it has read this Agreement, and that it fully understands=
 its
rights and obligations hereunder. Agent further represents that it has
sufficient business experience and expertise to independently evaluate the
business opportunity offered hereby, that Agent has been given the opportun=
ity
to consult with legal counsel of its choosing, and that, in executing this
Agreement, Agent is not relying on any claims, estimates, projections
(financial or otherwise), or representations made by Agent or UDC.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>In addition, Agent acknowledges th=
at UDC
or Agent does not guarantee or make any assurances whatsoever as to the
Agent&#8217;s profitability or sustenance of current margins on products and
services.</span><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;
font-family:Arial'><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'>6.<span style=3D'mso-spacerun:yes'>&nbsp; </span><u>WRIT=
TEN
CORRESPONDENCE</u><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent><span style=3D'font-size:7.0pt;mso-bidi-font-s=
ize:
12.0pt;font-family:Arial'>Unless otherwise agreed to by the parties in writ=
ing,
all notices, requests or other communications hereunder shall be in writing=
 and
shall be sent by first class mail, postage prepaid, facsimile, receipted
courier service or shall be personally delivered, to the other party at its
respective address specified below:<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>If to UDC:<o:p></o:p></span></=
p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Universal Data Consultants, In=
c.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>4690 Southwest 78 Avenue<o:p><=
/o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Davie, Florida<span
style=3D'mso-spacerun:yes'>&nbsp; </span>33328<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>If to Agent:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>(business name and address)<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>______________________________=
_____________________________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>______________________________=
_____________________________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:7.=
0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>______________________________=
_____________________________<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent3 style=3D'margin-left:.5in'><span style=3D'fon=
t-size:
7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span>=
</p>

<p class=3DMsoBodyTextIndent3 style=3D'margin-left:.5in'><span style=3D'fon=
t-size:
7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>or to each party, at such
other address or addresses as shall be designated in a written notice to the
other party or to the person whose signature appears herein below at the
address set forth above.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:7=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent3 style=3D'margin-left:.5in'><span style=3D'fon=
t-size:
7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>All such notices, reques=
ts
and communications, if communicated as set forth above shall be effective in
the case of mail, three (3) business days after mailing, and in every other
case, upon receipt when personally delivered.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent3><span style=3D'font-size:7.0pt;mso-bidi-font-=
size:
12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'>7.<span style=3D'mso-spacerun:yes'>&nbsp; </span><u>CRED=
IT
CHECK RELEASE</u><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify;text-inde=
nt:-.5in'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Ag=
ent
herby authorizes UDC</span><span style=3D'font-size:7.0pt;mso-bidi-font-siz=
e:
10.0pt;font-family:Arial'> and its designated agents and representatives to
conduct a comprehensive review of Agent&#8217;s background causing a
consumer/commercial report and/or an investigative consumer/commercial repo=
rt
to be generated for purposes of becoming an authorized UDC Agent.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Agent understands that the scope o=
f the
consumer/commercial report/investigative consumer/commercial report may
include, but is not limited to, the following areas: Verification of social
security number; current and previous residences; current and previous plac=
es
of business; character references; credit history and reports; criminal his=
tory
records from any criminal justice agency in any or all federal, state, coun=
ty
jurisdictions; and any other public records or to conduct interviews with t=
hird
parties relative to Agent&#8217;s character and general reputation.<o:p></o=
:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:7.0pt;mso-bidi-font-size:5.0p=
t;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'>Agent
further authorizes any individual, company, firm, corporation, or public ag=
ency
(including the Social Security Administration and law enforcement agencies)=
 to
divulge any and all information, verbal or written, pertaining to Agent to =
UDC
or its agents. Agent further authorizes the complete release of any records=
 or
data pertaining to Agent which the individual, company, firm, corporation, =
or
public agency may have, to include information or data received from other
sources. <o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.5in'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'><br>
Agent hereby releases UDC, the Social Security Administration, and its agen=
ts,
officials, representatives, or assigned agencies, including officers,
employees, or related personnel both individually and collectively, from an=
y and
all liability for damages of whatever kind, which may, at any time, result =
to
Agent, Agent&#8217;s heirs, family, or associates because of compliance with
this authorization and request to release. Agent may revoke this authorizat=
ion
at any time in writing. <span
style=3D'mso-spacerun:yes'>&nbsp;</span>Agent&#8217;s contact information is
listed below. <br style=3D'mso-special-character:line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify;text-inde=
nt:-.5in'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-align:justify;text-inde=
nt:-.5in'><span
style=3D'font-size:7.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><span style=3D'font-size:8.=
0pt;
font-family:Arial'>Print Name:<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:8.=
0pt;
font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>___________________________________=
________________________________<br>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;(First)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>&nbsp;&nbsp;(Middle)&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>&nbsp;&nbsp;<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>&nbsp;&nbsp;&nbsp;&nbsp;(Last)&nbsp;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Maiden)<br>
<br>
Former Name(s) and Dates Used: <o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:8.=
0pt;
font-family:Arial'>______________________________________<br>
<br>
Current Address Since: <o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:8.=
0pt;
font-family:Arial'>_______&nbsp;&nbsp;_____________________________________=
_______________________<br>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Mo/Yr)&nbsp=
;&nbsp;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>&nbsp;&nbsp;&nbsp;(Street)&nbsp;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;
</span>&nbsp;&nbsp;(City)&nbsp;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>&nbsp;(State/Zip)<br>
<br>
Previous Address From: <o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:8.=
0pt;
font-family:Arial'>_______&nbsp;&nbsp;_____________________________________=
_______________________<br>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Mo/Yr)&nbsp=
;&nbsp;&nbsp;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>&nbsp;&nbsp;(Street)&nbsp;&nbsp;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;
</span>&nbsp;(City)&nbsp;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>&nbsp;(State/Zip)<br>
<br>
Previous Address From: <o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:8.=
0pt;
font-family:Arial'>_______&nbsp;&nbsp;_____________________________________=
_______________________<br>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Mo/Yr)&nbsp=
;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>&nbsp;&nbsp;&nbsp;&nbsp;(Street)&nbsp;&nbsp;&nbsp;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;
</span>(City)&nbsp;&nbsp;<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>&nbsp;(State/Zip)<br>
<br>
Soc. Sec. Number: _______-_______-_________&nbsp;&nbsp;DOB:
______/______/_________<br>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;(I.D.
Purposes Only)<br>
<br>
Drivers License Number/State: <o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:8.=
0pt;
font-family:Arial'>_________________________________________________<br>
<br>
Telephone number: _________________________________<br style=3D'mso-special=
-character:
line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]></span><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;
font-family:Arial'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:.25in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyText><span style=3D'font-size:8.0pt;mso-bidi-font-size:12=
.0pt;
font-family:Arial'>IN WITNESS WHEREOF, the parties have caused this Agreeme=
nt
to be executed by their duly authorized representative(s) as of the Effecti=
ve
Date.<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>UNIVE=
RSAL
DATA CONSULTANTS, INC.<span style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><=
span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>AGENT<o:p></o:p></span></b></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span style=3D'mso-tab-count:7'>&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
 </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;
</span><i>Signer #1<o:p></o:p></i></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'>By:<span style=3D'mso-spacerun:yes'>&nbsp;
</span>_____________________________________<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span>By:<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>__________________________________=
_____<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
 </span>Signature<span
style=3D'mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>Signature<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'>Name:<span style=3D'mso-spacerun:yes'>&nbsp;
</span>___________________________________<span style=3D'mso-tab-count:2'>&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;
</span>Name:<span style=3D'mso-spacerun:yes'>&nbsp;
</span>____________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'>Title:<span style=3D'mso-spacerun:yes'>&nbsp;
</span>____________________________________<span style=3D'mso-tab-count:2'>=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;
</span>Social Security # ____________________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'>Date:<span style=3D'mso-spacerun:yes'>&nbsp;
</span>____________________________________<span style=3D'mso-tab-count:2'>=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;
</span>Title:<span style=3D'mso-spacerun:yes'>&nbsp;
</span>_____________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><span style=3D'mso-tab-count:7'>&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
 </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;
</span>Date: ______________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:7=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;
</span><i>Signer #2<o:p></o:p></i></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;
</span><span style=3D'mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>By:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>__________________________________=
___<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:8=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;
</span>Signature<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:6=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Name:<span style=3D'mso-spacerun:yes'>&nbsp; </span>________________=
___________________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:6=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style=3D'mso-spacerun:yes'>&nbsp;</span>Social Security #:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>__________________________<o:p></o=
:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:6=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Title:<span style=3D'mso-spacerun:yes'>&nbsp; </span>_______________=
_____________________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span style=3D'font-size:=
8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span style=3D'mso-tab-count:7=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;
</span>Date: ____________________________________<o:p></o:p></span></p>

</div>

<b style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:8.0pt;mso=
-bidi-font-size:
10.0pt;font-family:Arial;mso-fareast-font-family:"Times New Roman";mso-ansi=
-language:
EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'><br clear=3Dall
style=3D'page-break-before:always;mso-break-type:section-break'>
</span></b>

<div class=3DSection2>

<p class=3DMsoBodyText2><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p><=
/span></p>

<p class=3DMsoBodyText2 align=3Dleft style=3D'text-align:left'><span
style=3D'font-weight:normal;mso-bidi-font-weight:bold'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1027" type=3D"#_x0000_t75" style=3D'width:81pt;height:40.2pt=
'>
 <v:imagedata src=3D"UDC_AGENT_CONTRACT_v5.1_files/image003.png" o:title=3D=
"UDC Logo 1"/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D108 height=3D54
src=3D"UDC_AGENT_CONTRACT_v5.1_files/image005.jpg" v:shapes=3D"_x0000_i1027=
"><![endif]></span><span
style=3D'font-size:8.0pt;mso-bidi-font-size:10.0pt;font-family:Arial'><o:p>=
</o:p></span></p>

<p class=3DMsoBodyText2><span style=3D'font-size:8.0pt;mso-bidi-font-size:1=
0.0pt;
font-family:Arial'>AUTHORIZATION AGREEMENT FOR PRE-ARRANGED PAYMENTS (DEBIT=
S)<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<h1><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Ar=
ial'>AGENT'S
COMPANY NAME
___________________________________________________________________________=
____<o:p></o:p></span></h1>

<p class=3DReturnAddress style=3D'line-height:normal;mso-pagination:widow-o=
rphan'><span
style=3D'mso-bidi-font-size:12.0pt;mso-bidi-font-family:Arial;letter-spacin=
g:
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>LIST ALL LOCATIONS THAT WILL USE THIS BANK ACCOUNT FOR DEBITING PAYM=
ENTS<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>____________________________________________________________________=
___________________________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>____________________________________________________________________=
___________________________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>____________________________________________________________________=
___________________________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>____________________________________________________________________=
___________________________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in;text-align:justify'><span
style=3D'font-size:8.0pt;font-family:Arial'>This Authorization Agreement is=
 part
of the Walk-In Pay Services Agreement existing between Universal Data
Consultants, Inc., hereinafter referred to as UDC, and the Agent. <span
style=3D'mso-spacerun:yes'>&nbsp;</span>Agent hereby </span><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>autho=
rizes
UDC or its designated contractor to initiate entries to Agent's account
indicated below and the bank named below, hereinafter called
&#8220;BANK&#8221;.<span style=3D'mso-spacerun:yes'>&nbsp; </span>If the
automated debit entry is returned or dishonored for any reason, UDC will as=
sess
a charge of $30.00 payable to UDC by Agent; provided, however, that UDC will
not charge or collect more than it is allowed by law at the time to collect
from Agent.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Agent agrees to p=
ay UDC
any and all fees incurred by UDC as a result of a returned or dishonored de=
bit
entry.<span style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyText style=3D'margin-right:45.0pt'><span style=3D'font-si=
ze:8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>This authority is to remain in
full force and effect until UDC has received written notification from Agen=
t of
its termination in such manner as to afford UDC a reasonable opportunity to=
 act
on it.<span style=3D'mso-spacerun:yes'>&nbsp; </span>A customer has the rig=
ht to
stop payment of a debit entry by notification to UDC prior to charging
account.<span style=3D'mso-spacerun:yes'>&nbsp; </span>After account has be=
en
charged, a customer has the right to have the amount of an erroneous debit
immediately credited to his or her account by UDC up to 15 days following
issuance of statement or 45 days after costing, whichever occurs first.<o:p=
></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in;text-align:justify'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in;text-align:justify'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Under
penalty of perjury, signatory confirms that signatory is a duly authorized
check signor on the account identified below, has the required corporate
authority within Agent&#8217;s company to provide the authorization contain=
ed
in this form and thereby authorizes all of the above, with such evidence be=
ing
provided in such signatory&#8217;s signature below.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>This Authorization contains the en=
tire
agreement of the parties with respect to the subject matter herein.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>This Authorization may be amended =
only
in writing signed by both parties.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Florida law governs.<span style=3D'mso-spacerun:yes'>&nbsp; </span><=
o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>BANK NAME<span style=3D'mso-spacerun:yes'>&nbsp;
</span>____________________________________________________________________=
_______________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>BRANCH<span style=3D'mso-spacerun:yes'>&nbsp;
</span>________________________________________<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>PHONE NUMBER
_____________________________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>CITY<span style=3D'mso-spacerun:yes'>&nbsp;
</span>_____________________________________<span
style=3D'mso-spacerun:yes'>&nbsp; </span>STATE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>______________________________<span
style=3D'mso-spacerun:yes'>&nbsp; </span>ZIP<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>__________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>NAME ON THE ACCOUNT
___________________________________________________________________________=
_____<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>ACH BANK TRANSIT / ACH ROUTING NO.
___________________________________________________________________<o:p></o=
:p></span></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'margin-right:.6in;text-align:c=
enter'><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:8.0pt;mso-bi=
di-font-size:
12.0pt;font-family:Arial'>**<span style=3D'mso-spacerun:yes'>&nbsp; </span>=
<u>Call
your bank for this information</u><o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>ACCOUNT NO.
___________________________________________________________________________=
_______________</span></b><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>TYPE OF ACCOUNT (SAVINGS, CHECKING) _______________________ (BUSINES=
S,
PERSONAL)____________________<o:p></o:p></span></b></p>

<p class=3DMsoBodyText><span style=3D'font-size:8.0pt;mso-bidi-font-size:12=
.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyText style=3D'margin-right:45.0pt'><span style=3D'font-si=
ze:8.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><u><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-fa=
mily:
Arial'>AGENT:<o:p></o:p></span></u></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><u><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-fa=
mily:
Arial'><o:p><span style=3D'text-decoration:none'>&nbsp;</span></o:p></span>=
</u></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><u><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-fa=
mily:
Arial'>SIGNER #1<o:p></o:p></span></u></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>PRINT YOUR NAME<span style=3D'mso-spacerun:yes'>&nbsp;
</span>____________________________________________________________________=
_________________
<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>SIGNATURE<span style=3D'mso-spacerun:yes'>&nbsp; </span>____________=
___________________________________________________________________________=
____<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>TITLE<span style=3D'mso-spacerun:yes'>&nbsp;
</span>_________________________________________ DATE
__________________________________________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><u><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-fa=
mily:
Arial'>SIGNER #2<o:p></o:p></span></u></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>PRINT YOUR NAME<span style=3D'mso-spacerun:yes'>&nbsp;
</span>____________________________________________________________________=
_________________
<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>SIGNATURE<span style=3D'mso-spacerun:yes'>&nbsp;
</span>____________________________________________________________________=
_______________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>TITLE<span style=3D'mso-spacerun:yes'>&nbsp;
</span>_________________________________________ DATE
__________________________________________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DReturnAddress style=3D'line-height:normal;mso-pagination:widow-o=
rphan'><span
style=3D'mso-bidi-font-size:12.0pt;mso-bidi-font-family:Arial;letter-spacin=
g:
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyText style=3D'margin-right:45.0pt'><b><span style=3D'font=
-size:
8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span>=
</b></p>

<p class=3DMsoBodyText style=3D'margin-right:45.0pt'><b><span style=3D'font=
-size:
8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span>=
</b></p>

<p class=3DMsoBodyText style=3D'margin-right:45.0pt'><b><span style=3D'font=
-size:
8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>PLEASE PROVIDE A COPY OF=
 A
VOIDED CHECK AND VALID DRIVERS LICENSE OR OTHER GOVERNMENT ISSUED PICTURE I=
D.</span></b><b><span
style=3D'font-size:9.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
</o:p></span></b></p>

</div>

<b style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:9.0pt;mso=
-bidi-font-size:
12.0pt;font-family:Arial;mso-fareast-font-family:"Times New Roman";mso-ansi=
-language:
EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'><br clear=3Dall
style=3D'page-break-before:always;mso-break-type:section-break'>
</span></b>

<div class=3DSection3>

<h2 align=3Dleft style=3D'text-align:left'><span style=3D'font-weight:norma=
l;
mso-bidi-font-weight:bold'><!--[if gte vml 1]><v:shape id=3D"_x0000_i1028"
 type=3D"#_x0000_t75" style=3D'width:81pt;height:40.2pt'>
 <v:imagedata src=3D"UDC_AGENT_CONTRACT_v5.1_files/image003.png" o:title=3D=
"UDC Logo 1"/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D108 height=3D54
src=3D"UDC_AGENT_CONTRACT_v5.1_files/image005.jpg" v:shapes=3D"_x0000_i1028=
"><![endif]></span><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
</o:p></span></h2>

<h2><span style=3D'font-size:9.0pt;mso-bidi-font-size:12.0pt;font-family:Ar=
ial'>ATTACHMENT<span
style=3D'mso-spacerun:yes'>&nbsp; </span>A<o:p></o:p></span></h2>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><u><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-fa=
mily:
Arial'>Please complete for EACH location</span></u></b><b style=3D'mso-bidi=
-font-weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>:<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>E-M=
AIL
ADDRESS:<span style=3D'mso-spacerun:yes'>&nbsp;
</span>_________________________________________<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Business Name:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>__________________________________=
___________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Address:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>_____________________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>_____________________________________________<br style=3D'mso-specia=
l-character:
line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Business Hours:<span
style=3D'mso-spacerun:yes'>&nbsp;
</span>_____________________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Fax Number:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;</span>___________________________________=
__________<br
style=3D'mso-special-character:line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>ALL</span></b><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'> telephone numbers to be used for entering payments:<o:p=
></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>_____=
________________<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_______________________<br
style=3D'mso-special-character:line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>_____=
________________<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_______________________<o:p></o:p>=
</span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>_____=
________________<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_______________________<br
style=3D'mso-special-character:line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Business Name:<span
style=3D'mso-spacerun:yes'>&nbsp;
</span>_____________________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Address:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>_____________________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>_____________________________________________<br style=3D'mso-specia=
l-character:
line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Business Hours:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>__________________________________=
___________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Fax Number:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>_____________________________________________<br style=3D'mso-specia=
l-character:
line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>ALL </span></b><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.=
0pt;
font-family:Arial'>telephone numbers to be used for entering payments:<o:p>=
</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>_____=
________________<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_______________________<br
style=3D'mso-special-character:line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>_____=
________________<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_______________________<br
style=3D'mso-special-character:line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>_____=
________________<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_______________________<br
style=3D'mso-special-character:line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt;text-indent:.5in'><span
style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Business Name:<span
style=3D'mso-spacerun:yes'>&nbsp;
</span>_____________________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Address:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>_____________________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>_____________________________________________<br style=3D'mso-specia=
l-character:
line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Business Hours:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>__________________________________=
___________<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Fax Number:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>_____________________________________________<br style=3D'mso-specia=
l-character:
line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><b style=3D'mso-bidi-font-=
weight:
normal'><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0pt;font-famil=
y:
Arial'>ALL</span></b><span style=3D'font-size:8.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial'> telephone numbers to be used for</span><span
style=3D'font-size:8.0pt;font-family:Arial'> entering payments:<o:p></o:p><=
/span></p>

<p class=3DMsoNormal style=3D'margin-right:.6in'><span style=3D'font-size:8=
.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt'><span style=3D'font-size:8.0pt;
font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;
</span>_____________________<span style=3D'mso-spacerun:yes'>&nbsp;
</span>_______________________<br style=3D'mso-special-character:line-break=
'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:0in;margin-right:.6in;margin-botto=
m:0in;
margin-left:.5in;margin-bottom:.0001pt'><span style=3D'font-size:8.0pt;
font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;
</span>_____________________<span style=3D'mso-spacerun:yes'>&nbsp; </span>=
_______________________<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></spa=
n></p>

</div>

</body>

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