Fime · Mastercard M-TIP Order Form

Customer Information

Enter the Deliver To details first. Optionally copy them into Bill To below.

Deliver To

Legal address of the company requesting services.

Client name *

Contact person name *

Contact person e-mail address *

Telephone number *

International format with country code, e.g. +1 555 123 4567

Address *

Zip code *

State

City *

Country *

Copy Deliver To information to Bill To

Bill To

The company being billed for the services.

Client name *

Accounts Payable contact name *

Accounts Payable e-mail address *

Accounts Payable address *

Zip code *

State

City *

Country *

Accounts Payable phone number *

International format with country code, e.g. +1 555 123 4567

VAT number *

Is a Purchase Order required by your company to pay invoices? *

Invoicing Entity and Currency

Select the invoicing currency and your preferred Fime billing entity for this order.

Select the currency for invoicing *

Options depend on the Bill To country selected in step 1.

Preferred Fime billing entity *

Only legal entities allowed for the selected Bill To country are shown. Prefer an entity already set up in your procurement systems when applicable.

M-TIP Service Details

Only one Mastercard TIP service can be ordered using this order form.

Product & service details

Terminal Type *

Terminal Brand & Model *

Which interfaces does your terminal support? *

What type of M-TIP service do you want to order? *

Which interfaces do you want to submit for validation? *

Select a supported interface first.

Additional service details

Access to Fime Light Remote Support?

Up to 10 hours of remote support & 1 pre-validation iteration. Additional costs apply.

Deliver this service with high-priority?

Additional costs apply. Not available for Fast Track M-TIP.

Additional iterations to order upfront

Charged only if needed.

Pre-order the LoA Revision service?

Charged only if needed. Conditionally delivered based on Mastercard approval.

Full M-TIP based on a failed Fast Track M-TIP

A fee reduction may apply when the full M-TIP is ordered within one month of the failed Fast Track results, the failed Fast Track was delivered by Fime, its tracking number is provided below, and the terminal model & brand are identical.

Is this M-TIP based on a not-accepted Fast Track M-TIP?

Service Ordering

Enter the number of units for each line item. Grand total fee is for information only and will be confirmed upon delivery of the project. All prices exclude tax.

Product Name	SLA	Unit(s)
M-TIP Regular
Contact interface, first iteration	3 business days
Contactless interface, first iteration	4 business days
Dual interface, first iteration	7 business days
Fee per additional modular component	n.a.
Fee per additional iteration	n.a.
Fast Track (FT) M-TIP (not available in High Priority)
Contact or Contactless interface, first iteration	2 business days
Dual interface, first iteration	2 business days
Fee per additional iteration	n.a.
Additional services
Light Remote Support (NEW)	n.a.
High-priority delivery of service	see SLA above
LoA Revision	n.a.

Selected invoicing currency—

Total units selected0

Total Fee IndicationCalculated upon delivery

Review Your Order

Please check every detail before continuing to the Terms & Conditions. Use "Back" to make changes.

Terms & Conditions

Please read the full Terms & Conditions below. Scroll to the end to enable acceptance.

▼ Scroll to the bottom of the document to enable the acceptance checkbox.

I have read and agree to the Mastercard M-TIP Terms & Conditions. I confirm I am authorised to accept this order form on behalf of my company, and I authorise Fime to commence work on the services described above. My electronic acceptance creates a valid, binding service agreement.

For and on behalf of Fime

Daniella Ribeiro

SVP Global Sales Enablement & Inside Sales

Daniella Ribeiro

Authorised signatory · Fime

For and on behalf of the Customer

No signature applied yet.

The acceptance checkbox must be ticked before signing.