NYCE Network Decal Order Form
Section 1
Client Information – Please complete all fields in this section (required).
Company Name
Contact Name
Shipping Address (no PO Boxes)
City
Contact Telephone Number
Requested Delivery Date
State
Zip
E-mail address
Section 2
NYCE® – For All NYCE Participants
NYCE Decal Size
Quantity
1.75” x 1.25”
2.5” x 1.75”
4.5” x 2.25”
7” x 3”
8.5” x 4”
10” x 4.75”
Price Per Decal
No charge
No charge
No charge
No charge
No charge
No charge
Shipping and Handling
No charge
No charge
No charge
No charge
No charge
No charge
Section 3
SUM® – For SUM Program Members Only
SUM Decal Size
Quantity
4.5” x 2.25”
4.5” x 3”
Price Per Decal
No charge
No charge
Shipping and Handling
No charge
No charge
Section 4
DOLLAR$TOP® – For DOLLAR$TOP Program Members Only
DOLLAR$TOP Decal Size
Quantity
Price Per Decal
4.5” x 2.25”
No charge
4.5” x 3”
No charge
Shipping and Handling
No charge
No charge
Section 5
AFFN® – For Display on ATMs
AFFN Decal Size
Quantity
4.5” x 2.25”
Price Per Decal
No charge
Shipping and Handling
No charge
Section 6
UnionPay – For Display on ATMs
UnionPay Decal Size
Quantity
2.5” x 1.75”
4.5” x 2.25”
Price Per Decal
No charge
No charge
Shipping and Handling
No charge
No charge
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NYCE Network Decal Order Form
Section 7
Ordering Instructions
Please use one of the three decal ordering options listed below. We will complete your order as soon as
possible.
1.
Scan form and e-mail to: [email protected]
2.
Fax to:
201.330.3374 - Attn: Network Solutions Marketing Support
3.
Mail to:
Network Solutions Marketing Support
NYCE Payments Network, LLC
400 Plaza Drive, 2nd Floor
Secaucus, NJ 07094
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