!"#"!

$%#&"'(" *$%*+'(,-

This Checklist is an Auuenuum to the Neichant Agieement ("Agieement") uateu _______________, 2u____,
between _________________________________, (the "Neichant") anu NATI0NAL NERCBANTS ASS0CIATI0N
("NNA").
./012345 0/60/7/457 348 93003457 /312 :; 52/ ;:<<:9=4> ?@ 12/1A=4> =5 348 7=>4=4> ?/<:9B

_____ Neichant is engageu in the business of selling items that aie tiauitionally inuenteu foi use with tobacco anu othei
lawful piouucts, incluuing, but not limiteu to, any pipes, papeis, oi accessoiies, anu has obtaineu, anu thioughout the teim
of the Agieement, will maintain all local, state, anu feueial licenses, iegistiations, anu appiovals iequiieu to conuuct such
business.

_____Neichant unueistanus, cuiiently fully complies with, anu uuiing the teim of the Agieement, will fully comply with all
ielevant piovisions of all of the following as amenueu fiom time to time:

- Section S of the Feueial Tiaue Commission Act, 1S 0.S.C. S;
- the Contiolleu Substances Act, 21 0.S.C. 86S(a), subject to 21 0.S.C. 86S(f)(1) anu (2);
- the Electionic Funus Tiansfei Act, 1S 0.S.C. 169S, et seq. ("EFTA") anu all iegulations implementing the EFTA incluuing without
limitation Regulation E, 12 C.F.R. 1uuS.1, et seq.;
- the Faii Cieuit Repoiting Act, 1S 0.S.C. 1681, et seq. ("FCRA") anu all iegulations implementing the FCRA incluuing without
limitation Regulation v, 12 C.F.R. 1u22.1, et seq.;
- the Telephone Consumei Piotection Act, 47 0.S.C. 227, et seq. ("TCPA") anu all iegulations implementing the TCPA incluuing
without limitation 47 C.F.R. 64.12uu, et seq.;
- the Electionic Signatuies in ulobal anu National Commeice Act, 1S 0.S.C. 7uu1, et seq.; anu
- all othei applicable feueial, state, anu local laws, iules anu iegulations incluuing, without limitation, those iefeiiing, ielating oi
peitaining to the foiegoing, consumei piivacy anu piotection, cieuit, lenuing, finance, banking, anu tobacco, uiug, anu
paiapheinalia contiol, anu with the Rules (as uefineu in Section 1 of the Agieement).

_____Neichant will immeuiately notify NNA anu Bank in wiiting of any inquiiy, investigation, complaint, chaige, subpoena,
claim, iequest foi infoimation, juugment, injunction, iestiaining oiuei, cease anu uesist oiuei, any similai juuicial, quasi-
juuicial, auministiative, oi executive oiuei, oi any license oi peimit ievocation oi cancellation, by any local, state oi feueial
law enfoicement oi iegulatoiy agency, entity, oi official in connection with oi ielating to Neichant's business incluuing
without limitation any complaints, chaiges oi claims against Neichant by any customeis of Neichant oi by any local, state
oi feueial official.

_____In auuition to the inuemnity obligations set foith in the Agieement, Neichant will also inuemnify anu holu NNA anu
Bank haimless fiom anu against any anu all losses, costs, liabilities, uamages anu expenses (incluuing attoineys' fees anu
collection costs) iesulting fiom oi incuiieu in connection with any bieach of the Agieement incluuing anu as mouifieu by
this Auuenuum, anuoi iesulting fiom oi incuiieu in connection with any inquiiy, investigation, complaint, chaige,
subpoena, claim, oi iequest foi infoimation of oi against Neichant, oi against oi involving NNA oi Bank in connection with
Neichant, by any local, state oi feueial law enfoicement oi iegulatoiy agency in connection with oi ielating to Neichant's
business incluuing without limitation any complaints, chaiges oi claims by any customeis of Neichant oi by any local, state
oi feueial official.

____Neichant unueistanus that NNA oi Bank may teiminate the Agieement effective immeuiately in the event of any bieach
of this auuenuum oi as otheiwise set foith in the Agieement.

&"-(C&"' .%#*$"&-, ",,C*("-(C&B .%#*$"&-BDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

EFB DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD EFBDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

!0=45B DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

(57BDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD (57BDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

G35/8BDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD G35/8BDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD