On-Line Websurfer application

Full Name:

Terms & Conditions:
I, the undersigned, hereby declare that I wish to obtain an internet MasterCard
Websurfer account issued by the issuing entity, subject to all the applicable Lebanese
laws and to the following terms and conditions:
1. The account is valid only for use on the internet and no embossed card shall be
issued to the cardholder. A reference device, containing the account number,
expiration date, CVC2 and the issuer name shall be delivered to the cardholder either
physically or via e-mail.
2. The account is a prepaid account with no additional credit facilities being granted
on it. The original amount shall be deposited by the cardholder into the account at the
issuing entity, and shall be depleted by the transactions posted on, and charged to, the
account.
3. The cardholder shall be fully responsible for any and all transactions on the
account, whether authorized by the cardholder or not. The cardholder shall have no
recourse or charge back right regarding disputed transactions appearing on the
account, even if not authorized by the cardholder.
4. The cardholder shall not receive a statement at the end of the month, but, if the
cardholder so wishes then, by logging onto the relevant site, the cardholder may review
his account summary and may request statement.
5. The reference device and the account remain the property of the issuing entity
which reserves to itself the right to withdraw or cancel it at any moment, or not to renew
it, with no obligation to indicate or justify the move
6. Upon the expiration date indicated on the reference device, the account shall be
automatically renewed for an additional year and the subsequent fees then in force
shall be automatically charged on the account unless the cardholder notifies the
issuing entity on the contrary, at least one month prior to the expiration date.
7. The account will normally be accepted by all internet sites displaying the
MasterCard logo and accepting international cards for payments of their goods or
services. However, in the event that the account is not honored or accepted by an
internet site for any reason whatsoever, neither the issuing entity nor its agents or
subcontractors shall incur any liability or be held responsible to the cardholder on the
internet merchant or site provider in connection therewith.
8. The issuing entity reserves the right to amend these terms and conditions at any
time. The cardholder shall be notified accordingly. Continued use of the card
constitutes acceptance by the cardholder of such amendments.
9. The terms and conditions shall be governed by the laws and conditions of the
Republic of Lebanon. The courts of Beirut shall have exclusive jurisdiction over all
disputes which might arise between the issuing entity and the cardholder even in the
event of disputes concerning obligations incurred or contracted abroad

Place & Date of Birth:

Address 1:

Address 2:

Your Tel. number:

Your E-mail address:

By signing below, I hereby confirm that the above information is
true and correct, and that I have read and approved the terms
and conditions listed on this page.

Signature: _________________________
Date: |____|____|____|

Contact us
info@imr.com.lb

Re-Credit Slip

As holder of internet

websurfer card number:

|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

I hereby ask you to credit my account for the amount:
USD: ____________________________________
Bank Name: ______________________________
Bank branch: ________________________
Date: ___/___/___