Document:

<PAGE>

                                                                   EXHIBIT 10.41

                                 IPAYMENT, INC.
                              STOCK INCENTIVE PLAN
                    AS AMENDED AND RESTATED ON APRIL __, 2003

                       NONQUALIFIED STOCK OPTION AGREEMENT

                  This Nonqualified Stock Option Agreement (this "Agreement"),
dated [INSERT DATE OF GRANT] (the "Grant Date"), is made between iPayment, Inc.
(the "Company") and [INSERT NAME] (the "Participant"). All capitalized terms
used herein that are not defined herein shall have the respective meanings given
to such terms in the iPayment, Inc. Stock Incentive Plan, as amended and
restated on [INSERT DATE] (the "Plan").

                              W I T N E S S E T H :

         1.       Grant of Option. Pursuant to the provisions of the Plan, the
Company hereby grants to the Participant, subject to the terms and conditions of
the Plan and subject further to the terms and conditions herein set forth, the
right and option to purchase (the "Option") from the Company all or any part of
an aggregate of [INSERT NUMBER OF SHARES] shares of the Stock of the Company at
a per share purchase price equal to $[INSERT EXERCISE PRICE] (the "Exercise
Price"), such Option to be exercisable as hereinafter provided. The Option shall
not be treated as an "incentive stock option," as defined in Section 422 of the
Code.

         2.       Right to Exercise Option.

                  (a)      Subject to the other terms of this Agreement and the
Plan, the Option may be exercised on or after the dates indicated below as to
that percentage of the total shares of Stock subject to the Option as set forth
below opposite each such date, plus any shares of Stock as to which the Option
could have been exercised previously, but was not so exercised:

<TABLE>
<CAPTION>
     Date              Percentage
     ----              ----------
<S>               <C>
[INSERT DATE]     [INSERT PERCENTAGE]
[INSERT DATE]     [INSERT PERCENTAGE]
[INSERT DATE]     [INSERT PERCENTAGE]
[INSERT DATE]     [INSERT PERCENTAGE]
</TABLE>

                  (b)      Notwithstanding Section 2(a) of this Agreement, in
the event of a Change in Control, 100% of the Stock subject to the Option shall
become fully exercisable immediately prior to a Change in Control event.

         3.       Method of Exercise.

                  (a)      Any exercise of all or any part of the Option shall
be made by submitting to the Company the exercise notice attached hereto as
Exhibit A, along with the aggregate Exercise Price.

                  (b)      At the time of any exercise of the Option, the
aggregate Exercise Price of the shares of Stock as to which the Option is
exercised shall be paid to the Company (i) in United

<PAGE>

States dollars by personal check, bank draft or money order, (ii) where the
Stock is publicly traded on a recognized exchange or automated trading system,
in Stock that was acquired at least six (6) months prior to the exercise of the
Option, or such shorter or longer period, if any, required by the Company's
accountants to avoid a charge to the Company's earnings for financial reporting
purposes, (iii) where the Stock is publicly traded on a recognized exchange or
automated trading system, through a special sale and remittance procedure
pursuant to which the Participant shall concurrently provide irrevocable
instructions to (A) a Company-designated brokerage firm to effect the immediate
sale of the purchased shares and remit to the Company, out of the sale proceeds
available on the settlement date, sufficient funds to cover the aggregate
Exercise Price payable for the purchased shares plus all applicable income and
employment taxes required to be withheld by the Company by reason of such
exercise and (B) the Company to deliver the certificates for the purchased
shares directly to such brokerage firm in order to complete the sale ("Cashless
Exercise"), or (iv) in a combination thereof.

         4.       Expiration and Termination of Option.

                  (a)      The Option shall expire and, thus, no longer be
exercisable on the [INSERT NUMBER OF YEARS] anniversary of the Grant Date.

                  (b)      The Option shall terminate and cease to be
outstanding upon the termination, for any reason, of the Participant's services
to the Company or an Affiliate as a director, officer, employee, consultant,
advisor, agent, independent contractor, or independent sales or service
organization, except as follows:

                           (i)      Where the Participant's services to the
Company or an Affiliate are terminated due to the death of the Participant, the
Option may be exercised after the Participant's death by the Participant's
designated beneficiary, the Participant's heir, the legal representative of the
Participant's estate or by the legatee of the Participant under his last will
for a period of twelve (12) months from the date of the Participant's death but
only to the extent (A) the Option would be exercisable in accordance with
Section 2(a) hereof as of the date of the Participant's death, (B) the exercise
period of the Option has not expired under Section 4(a) hereof, and (C) the
Option has not otherwise been terminated.

                           (ii)     Where the Participant's services to the
Company or an Affiliate are terminated due to the Disability of the Participant,
the Option may be exercised after such termination of services for a period of
twelve (12) months from the date of such termination of services but only to the
extent (A) the Option would be exercisable in accordance with Section 2(a)
hereof as of the date of the Participant's death, (B) the exercise period of the
Option has not expired under Section 4(a) hereof, and (C) the Option has not
otherwise been terminated.

                           (iii)    Where the Participant's services to the
Company or an Affiliate are terminated for any reason other than by reason of
death, Disability or Misconduct, the Option may thereafter be exercised for a
period of three (3) months from the date of such termination of services but
only to the extent (A) the Option would be exercisable in accordance with
Section 2(a) hereof as of the date of such termination, (B) the exercise period
of the Option has not expired under Section 4(a) hereof, and (C) the Option has
not otherwise been terminated.

                                      -2-

<PAGE>

                  (c)      If, at any time, the Committee reasonably believes
the Participant may have committed an act of Misconduct, the Participant's
rights to exercise the Option may be suspended pending a determination by the
Committee that an act of Misconduct has been committed. If the Committee in its
sole discretion determines that the Participant has committed an act of
Misconduct, then the Option, including any portion of the Option that is
exercisable, held by the Participant shall terminate immediately and cease to
remain outstanding.

         5.       Transferability. The Option shall not be transferable except
by will or by the laws of descent and distribution, and shall be exercisable
during the lifetime of the Participant only by the Participant. No right or
interest of a Participant in any Option shall be liable for, or subject to, any
lien, obligation or liability of such Participant.

         6.       Tax Consequences. Upon the exercise of the Option, the
Participant shall, upon notification of the amount due, pay to the Company
amounts necessary to satisfy applicable federal, state and local withholding tax
requirements or shall otherwise make arrangements satisfactory to the Company
for the payment of such withholding taxes.

         7.       Lock-Up Period. The Participant hereby agrees that, if so
requested by the Company or any representative of the underwriters (the
"Managing Underwriter") in connection with any registration of the offering of
any securities of the Company under the Securities Act, the Participant shall
not offer, pledge, sell, contract to sell, sell any option or contract to
purchase, purchase any option or contract to sell, grant any option, right or
warrant to purchase, lend, or otherwise transfer or dispose of, directly or
indirectly, any Stock or other securities of the Company or enter into any swap,
hedging or other arrangement that transfers to another, in whole or in part, any
of the economic consequences of ownership of any Stock or other securities of
the Company (each such action, a "Transfer") during the 180-day period (or such
other period as may be requested in writing by the Managing Underwriter and
agreed to in writing by the Company) (the "Market Standoff Period") following
the effective date of a registration statement of the Company filed under the
Securities Act. The Company may impose stop-transfer instructions with respect
to securities subject to the foregoing restrictions until the end of such Market
Standoff Period.

         8.       No Right to Continued Employment. Neither participation in the
Plan nor the acceptance of the grant of the Option evidenced hereby shall confer
upon any employee any right to continue in the employ of the Company or an
Affiliate or in any way affect any right and power of the Company or an
Affiliate to terminate the employment of any employee at any time with or
without assigning a reason therefore.

         9.       Provisions of the Plan. The Option is granted pursuant to the
Plan, and such Option and this Agreement are in all respects governed by the
Plan and subject to all of the terms and provisions whether such terms and
provisions are incorporated in this Agreement solely by reference or are
expressly cited herein. Any interpretation of this agreement will be made in
accordance with the Plan. In the event there is any contradiction between the
provisions of this Agreement and the Plan, the provisions of this Agreement will
prevail.

         10.      Compliance with Laws and Regulations. The Option shall not be
exercisable, no Stock shall be issued, no certificates for shares of Stock shall
be delivered, and no payment shall

                                      -3-

<PAGE>

be made under this Plan except in compliance with all federal, state and local
laws and regulations including, without limitation, withholding tax
requirements, federal and state securities laws and regulations and the rules
and regulations of any government or regulatory agency or body and in compliance
with the rules of all securities exchanges or self-regulatory organizations on
which the Company's shares may be listed, which the Committee shall, in its
discretion, determine to be necessary or applicable, in all respects. The
Company shall have the right to rely on an opinion of its counsel as to such
compliance. Any certificate issued to evidence shares of Stock issued pursuant
to this Plan may bear such legends and statements as the Committee upon advice
of counsel may deem advisable to assure compliance with federal or state laws
and regulations. The Option shall not be exercisable, no Stock shall be issued,
no certificate for shares shall be delivered and no payment shall be made under
this Plan until the Company has obtained such consent or approval as the
Committee may deem advisable from any government or regulatory bodies having
jurisdiction over such matters, free of any conditions not acceptable to the
Company.

         11.      Certain Other Representations and Covenants of the
Participant. The Participant hereby acknowledges receipt of a copy of the Plan
and represents that he is familiar with the terms and provisions thereof. The
Participant hereby represents and acknowledges that the Participant has reviewed
the Plan and this Agreement in their entirety, has had an opportunity to obtain
the advice of counsel prior to executing this Agreement and fully understands
all provisions of the Plan and this Agreement. The Participant hereby agrees to
be bound by all of the terms and provisions of the Plan and this Agreement,
including the terms and provisions adopted after the granting of the Option but
prior to the complete exercise hereof, subject to the last paragraph of Section
10.6 of the Plan as in effect on the date hereof. The Participant hereby agrees
to accept as binding, conclusive and final all decisions and interpretations of
the Committee or the Board upon any questions arising under the Plan, this
Agreement or otherwise relating to the Option.

         12.      Notices. Any notice or other communication required or
permitted hereunder shall be in accordance with the Plan, and, if to the
Company, may be delivered in person to the Company's [__________] or sent to the
Company, attention: [__________], by facsimile at [__________], or sent by
certified or registered mail or overnight courier, prepaid, addressed to the
Company at [_______________], and, if to the Participant, shall be addressed to
him at the address set forth below his signature hereon, subject to the right of
either party to designate at any time hereafter in writing some other address.

         13.      Governing Law. The validity, interpretation, construction and
performance of this Agreement shall be governed by the laws of the State of
Delaware applicable to contracts executed and to be performed entirely within
such state, without regard to the conflict of law provisions thereof.

         14.      Severability. If any of the provisions of this Agreement
should be deemed unenforceable, the remaining provisions shall remain in full
force and effect.

         15.      Modification. Except as otherwise permitted by the Plan, this
Agreement may not be modified or amended, nor may any provision hereof be
waived, in any way except in writing signed by the parties hereto.

                                      -4-

<PAGE>

         16.      Counterparts. This Agreement has been executed in two
counterparts, each of which shall constitute one and the same instrument.

                  IN WITNESS WHEREOF, iPayment, Inc. has caused this Agreement
to be executed by a duly authorized officer, and the Participant has executed
this Agreement, both as of the day and year first written above.

                  IPAYMENT, INC.

                  By__________________________________
                  Name:
                  Title:

                  PARTICIPANT

                  ______________________________________
                  [INSERT NAME OF PARTICIPANT]
                  [INSERT ADDRESS]

                  Date:_________________________________

                                      -5-

<PAGE>

EXHIBIT A:

                                 IPAYMENT, INC.
                              STOCK INCENTIVE PLAN
                    AS AMENDED AND RESTATED ON APRIL __, 2003

                                 EXERCISE NOTICE

iPayment, Inc.
[INSERT ADDRESS OF STOCK ADMINISTRATOR]

         This Exercise Notice is given pursuant to the terms of the Nonqualified
Stock Option Agreement dated _________________ between iPayment, Inc. (the
Company") and the undersigned Participant (the "Agreement"), which is made a
part hereof and incorporated herein by reference. (All capitalized terms not
defined herein shall have the meanings given to such terms in the iPayment, Inc.
Stock Incentive Plan and the Agreement.)

         EXERCISE OF OPTION. The Participant hereby exercises the Option to
purchase _________________ shares of Stock of the Company. The Participant
hereby delivers, together with this written statement of exercise, the aggregate
Exercise Price with respect to the number of shares of Stock purchased:

                  Cash in the total amount of $_________________.

                  ______________ shares of Stock of the Company.

                  Cashless Exercise.

         ACKNOWLEDGMENT. The Participant understands and acknowledges that the
exercise of any rights to purchase any shares of Stock is expressly conditioned
upon compliance with the Securities Act of 1933, the Exchange Act of 1934, the
requirements of any stock exchange or national market system on which the
Company's stock may be listed, and all applicable state securities laws. The
Participant agrees to cooperate with the Company to ensure compliance with such
laws. The Participant has made provision for the payment of any federal or state
withholding taxes required to be paid or withheld by the Company.

         Executed this ________ day of ________________, ________.

         PARTICIPANT

         ____________________________     _________________________________
         Signature                        Print or Type Name

         iPayment, Inc. hereby acknowledges receipt of this Exercise Notice and
receipt of payment in the form and amount indicated above, all on this
_________day of ________________, __________.

         IPAYMENT, INC.

         ___________________________________
         By:
         Title:<PAGE>

                                                                   EXHIBIT 10.42

                                 IPAYMENT, INC.
                    NON-EMPLOYEE DIRECTORS STOCK OPTION PLAN
                    AS AMENDED AND RESTATED ON APRIL__, 2003

                             STOCK OPTION AGREEMENT

                  This Stock Option Agreement (this "Agreement"), dated [INSERT
DATE OF GRANT] (the "Date of Grant"), is made between iPayment, Inc. (the
"Company") and [INSERT NAME] (the "Participant"). All capitalized terms used
herein that are not defined herein shall have the respective meanings given to
such terms in the Non-Employee Directors Stock Option Plan, as amended and
restated on [INSERT DATE] (the "Plan").

                              W I T N E S S E T H :

         1.       Grant of Option. Pursuant to the provisions of the Plan, the
Company hereby grants to the Participant, subject to the terms and conditions of
the Plan and subject further to the terms and conditions herein set forth, the
right and option to purchase (the "Option") from the Company all or any part of
an aggregate of [INSERT NUMBER OF SHARES] shares of the Stock of the Company at
a per share purchase price equal to $[INSERT EXERCISE PRICE] (the "Exercise
Price"), such Option to be exercisable as hereinafter provided. The Option shall
not be treated as an "incentive stock option," as defined in Section 422 of the
Code.

         2.       Option Period.

                  (a)      Subject to the other terms of this Agreement and the
Plan, the Option shall vest and may be exercised on or after the dates indicated
below as to that percentage of the total shares of Stock subject to the Option
as set forth below opposite each such date, plus any shares of Stock as to which
the Option could have been exercised previously, but was not so exercised:

<TABLE>
<CAPTION>
     Date                      Percentage
     ----                      ----------
<S>                       <C>
[INSERT DATE]             [INSERT PERCENTAGE]
[INSERT DATE]             [INSERT PERCENTAGE]
[INSERT DATE]             [INSERT PERCENTAGE]
[INSERT DATE]             [INSERT PERCENTAGE]
</TABLE>

                  (b)      Notwithstanding Section 2(a) of this Agreement, in
he event of a Change in Control, 100% of the Stock subject to the Option shall
become fully exercisable immediately prior to a Change in Control event.

         3.       Method of Exercise.

                  (a)      Any exercise of all or any part of the Option shall
be made by submitting to the Company the exercise notice attached hereto as
Exhibit A, along with the aggregate Exercise Price.

<PAGE>

                  (b)      At the time of any exercise of the Option, the
aggregate Exercise Price of the shares of Stock as to which the Option is
exercised shall be paid to the Company (i) in United States dollars by personal
check, bank draft or money order, (ii) where the Stock is publicly traded on a
recognized exchange or automated trading system, in actual or constructive
delivery of Stock that was acquired at least six months prior to the exercise of
the Option, or such shorter or longer period, if any, as is required by the
Company's accountants to avoid a charge to the Company's earnings for financial
reporting purposes, (iii) where the Stock is publicly traded on a recognized
exchange or automated trading system, through a special sale and remittance
procedure pursuant to which the Participant shall concurrently provide
irrevocable instructions to (A) a Company-designated brokerage firm to effect
the immediate sale of the purchased shares and remit to the Company, out of the
sale proceeds available on the settlement date, sufficient funds to cover the
aggregate exercise price payable for the purchased shares plus all applicable
income and employment taxes required to be withheld by the Company by reason of
such exercise and (B) the Company to deliver the certificates for the purchased
shares directly to such brokerage firm in order to complete the sale ("Cashless
Exercise"), or (iv) in a combination thereof; provided, however, that a form of
payment other than cash is only acceptable to the extent that the same is
approved by the Committee. Payment of the Exercise Price must include payment of
tax withholdings in cash unless the Company consents to alternative arrangements
for withholdings.

         4.       Expiration and Termination of Option. The Option shall expire
and, thus, no longer be exercisable on the tenth (10th) anniversary of the Grant
Date, unless terminated earlier pursuant to any of the following:

                  (a)      If the directorship of the Participant is terminated
         on account of fraud, dishonesty or other acts detrimental to the
         interests of the Company or any direct or indirect majority-owned
         subsidiary of the Company, the Option, including any portion of the
         Option which has vested or is otherwise exercisable by the Participant,
         shall terminate as of the date of such termination.

                  (b)      Upon the death or disability (as defined in Section
         22(e)(3) of the Code) of a Participant prior to the expiration of the
         Option, the Option may be fully exercised, whether or not the
         Participant was entitled to exercise it on the date thereof, at any
         time within twelve (12) months after such death or disability.
         Thereafter, the Option shall terminate and no longer be exercisable.

                  (c)      If the directorship of a Participant is terminated
         for any reason other than the circumstances described in subparagraph
         (a) or (b) above, the Option may be exercised within three (3) months
         after such termination to the extent the Participant was able to do so
         at the date of termination of the directorship. Thereafter, the Option
         shall terminate and no longer be exercisable. Notwithstanding the
         foregoing, if the Participant becomes an employee of the Company or an
         Affiliate upon the termination of his directorship, the Option shall
         expire after the termination of employment in a manner that is
         consistent with this subparagraph (c).

                                      -2-

<PAGE>

         5.       Transferability. Any Option granted under this Plan shall not
be transferable except by will or by the laws of descent and distribution, and
shall be exercisable during the lifetime of the Participant only by the
Participant. No right or interest of a Participant in any Option shall be liable
for, or subject to, any lien, obligation or liability of such Participant.

         6.       Tax Consequences. Upon exercise of the Option, the Participant
shall, upon notification of the amount due and prior to or concurrently with the
delivery of the certificates representing the shares, pay to the Company amounts
necessary to satisfy applicable federal, state and local withholding tax
requirements or shall otherwise make arrangements satisfactory to the Company
for such requirements, but only to the extent that the Company is required by
law to withhold such amounts or that the Participant voluntarily elects for such
withholding.

         7.       Lock-Up Period. The Participant hereby agrees that, if so
requested by the Company or any representative of the underwriters (the
"Managing Underwriter") in connection with any registration of the offering of
any securities of the Company under the Securities Act, the Participant shall
not offer, pledge, sell, contract to sell, sell any option or contract to
purchase, purchase any option or contract to sell, grant any option, right or
warrant to purchase, lend, or otherwise transfer or dispose of, directly or
indirectly, any Stock or other securities of the Company or enter into any swap,
hedging or other arrangement that transfers to another, in whole or in part, any
of the economic consequences of ownership of any Stock or other securities of
the Company (each such action, a "Transfer") during the 180-day period (or such
other period as may be requested in writing by the Managing Underwriter and
agreed to in writing by the Company) (the "Market Standoff Period") following
the effective date of a registration statement of the Company filed under the
Securities Act. The Company may impose stop-transfer instructions with respect
to securities subject to the foregoing restrictions until the end of such Market
Standoff Period.

         8.       Provisions of the Plan. The Option is granted pursuant to the
Plan, and such Option and this Agreement are in all respects governed by the
Plan and subject to all of the terms and provisions whether such terms and
provisions are incorporated in this Agreement solely by reference or are
expressly cited herein. Any interpretation of this Agreement will be made in
accordance with the Plan. In the event there is any contradiction between the
provisions of this Agreement and the Plan, the provisions of this Agreement will
prevail.

         9.       Compliance with Laws and Regulations. No Option shall be
exercisable, no Stock shall be issued, no certificates for shares of Stock shall
be delivered, and no payment shall be made under this Plan except in compliance
with all federal, state and local laws and regulations including, without
limitation, withholding tax requirements, federal and state securities laws and
regulations and the rules and regulations of any government or regulatory agency
or body and in compliance with the rules of all securities exchanges or
self-regulatory organizations on which the Company's shares may be listed, which
the Committee shall, in its discretion, determine to be necessary or applicable,
in all respects. The Company shall have the right to rely on an opinion of its
counsel as to such compliance. Any certificate issued to evidence shares of
Stock for which an Option is exercised may bear such legends and statements as
the Committee upon advice of counsel may deem advisable to assure compliance
with federal or state laws and regulations.

                                      -3-

<PAGE>

         10.      Certain Other Representations and Covenants of the
Participant. The Participant hereby acknowledges receipt of a copy of the Plan
and represents that he is familiar with the terms and provisions thereof. The
Participant hereby represents and acknowledges that the Participant has reviewed
the Plan and this Agreement in their entirety, has had an opportunity to obtain
the advice of counsel prior to executing this Agreement and fully understands
all provisions of the Plan and this Agreement. The Participant hereby agrees to
be bound by all of the terms and provisions of the Plan and this Agreement,
including the terms and provisions adopted after the granting of the Option but
prior to the complete exercise hereof, subject to the last paragraph of Section
10.5 of the Plan as in effect on the date hereof. The Participant hereby agrees
to accept as binding, conclusive and final all decisions and interpretations of
the Committee or the Board upon any questions arising under the Plan, this
Agreement or otherwise relating to the Option.

         11.      Notices. Any notice or other communication required or
permitted hereunder shall be in accordance with the Plan, and, if to the
Company, may be delivered in person to the Company's [__________] or sent to the
Company, attention: [__________], by facsimile at [__________], or sent by
certified or registered mail or overnight courier, prepaid, addressed to the
Company at [_______________], and, if to the Participant, shall be addressed to
him at the address set forth below his signature hereon, subject to the right of
either party to designate at any time hereafter in writing some other address.

         12.      Governing Law. The validity, interpretation, construction and
performance of this Agreement shall be governed by the laws of the State of
Delaware applicable to contracts executed and to be performed entirely within
such state, without regard to the conflict of law provisions thereof.

         13.      Severability. If any of the provisions of this Agreement
should be deemed unenforceable, the remaining provisions shall remain in full
force and effect.

         14.      Modification. Except as otherwise permitted by the Plan, this
Agreement may not be modified or amended, nor may any provision hereof be
waived, in any way except in writing signed by the parties hereto.

         15.      Counterparts. This Agreement has been executed in two
counterparts, each of which shall constitute one and the same instrument.

                                      -4-

<PAGE>

                  IN WITNESS WHEREOF, iPayment, Inc. has caused this Agreement
to be executed by a duly authorized officer, and the Participant has executed
this Agreement, both as of the day and year first written above.

                  IPAYMENT, INC.

                  By__________________________________
                  Name:
                  Title:

                  PARTICIPANT

                  _____________________________________
                  [INSERT NAME OF PARTICIPANT]
                  [INSERT ADDRESS]

                  Date:_________________________________

                                      -5-

<PAGE>

EXHIBIT A:

                                 IPAYMENT, INC.
                    NON-EMPLOYEE DIRECTORS STOCK OPTION PLAN
                    AS AMENDED AND RESTATED ON APRIL__, 2003

                                 EXERCISE NOTICE

iPayment, Inc.
[INSERT ADDRESS OF STOCK ADMINISTRATOR]

         This Exercise Notice is given pursuant to the terms of the Stock Option
Agreement dated _________________ between iPayment, Inc. (the "Company") and the
undersigned Participant (the "Agreement"), which is made a part hereof and
incorporated herein by reference. (All capitalized terms not defined herein
shall have the meanings given to such terms in the iPayment, Inc. Non-Employee
Directors Stock Option Plan and the Agreement.)

         EXERCISE OF OPTION. The Participant hereby exercises the Option to
purchase _________________ shares of Stock of the Company. The Participant
hereby delivers, together with this written statement of exercise, the aggregate
Exercise Price with respect to the number of shares of Stock purchased:

                  Cash in the total amount of $_________________.

                  ______________ shares of Stock of the Company.

                  Cashless Exercise.

         ACKNOWLEDGMENT. The Participant understands and acknowledges that the
exercise of any rights to purchase any shares of Stock is expressly conditioned
upon compliance with the Securities Act of 1933, the Exchange Act of 1934, the
requirements of any stock exchange or national market system on which the
Company's stock may be listed, and all applicable state securities laws. The
Participant agrees to cooperate with the Company to ensure compliance with such
laws. The Participant has made provision for the payment of any federal or state
withholding taxes required to be paid or withheld by the Company.

         Executed this ________ day of ________________, ________.

         PARTICIPANT

         ____________________________     _________________________________
         Signature                        Print or Type Name

         iPayment, Inc. hereby acknowledges receipt of this Exercise Notice and
receipt of payment in the form and amount indicated above, all on this
_________day of ________________, __________.

         IPAYMENT, INC.

         ___________________________________________
         By:
         Title:

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00051-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00051-of-00352.parquet"}]]