<p> Wholesale Lockbox Imaging Sample Questionnaire</p><p>IMAGE SERVICES General Information</p><p>Company Name: ABC Company Contact: John Smith</p><p>Image Capture Requirements</p><p>Cheque Only – Images of all cheques (available for all sites) Image All Documents – cheques / invoices / correspondence Image All Documents – cheques / invoices / correspondence including envelopes</p><p>Image Services</p><p>Image CD-ROM (Delivered with regular back up- if different provide details under additional instructions)</p><p>Frequency Daily Weekly Monthly 2 # of Copies </p><p>Clients with multiple lockboxes Include all lockboxes on one CD Create a separate CD for each lockbox </p><p>Web Access Web Reports (includes Deposit Advice, Cheque List, and if applicable, Activity Report</p><p>Billing Instructions (Please denote which lockbox CD charges should be applied to)</p><p>Primary Lockbox: T10000C Secondary Lockbox(es): T10001C</p><p>Detailed Additional Instructions Please send one copy of the CD with the regular back up and the other CD to: 123 Anywhere St. M5B 1P1 Toronto, ON Canada</p><p>CONFIDENTIAL</p>