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or 5 % of the New Balance, shalt be paid within 25 days alter the Closing Date of that billing statement. Payments must be made at BaakCard Center, Milwaukee, Wisconsin, 53288- 0200. Payments made at any other location nay cause delay In crediting the account Payments received after 2:00 P.M. on any Monda

% OF OWNERSHIP TIME WITH COMPANY: OFFICE TELEPHONE NUMBER 3. BANKING & 01 HLR CREDIT CARD RELATIONSHIPS PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? OYES ONO VISA BUSINESS OR CORPORATE CARD? PYFS nNo MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO BUSINESS C

5 % ol the New Balance, shall be paid with- in 25 days after the Closing Date of that billing statement. Payments must be made at Bankcard Center, Milwaukee, Wisconsin, 53288-0200. Payments made at any other location may cause delay in crediting the 1 account. Payments received after 2:00 P.M. on any Mo

1 % OF OWNERSHIP TIME WITH COMPANY: OFFICE TELEPHONE NUMBER 3. BANKING & OTHER CREDIT CARD RELATIONSHIPS PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? OYES ONO VISA BUSINESS OR CORPORATE CARD? DYES ONO MASTERCARD BUSINESS OR CORPORATE CARD? DYES ONO IMISING A

5 % of the New Balance, shall be paid with- in 25 days after the Closing Date of that billing statement. Payments must be made at Bankcard Center. Milwaukee, Wisconsin, 53288-0200. Payments made al any other location may cause delay in crediting the I account. Payments received after 2:00 P.M. on any Mo

% OF OWNERSHIP TIME WITH COMPANY: OFFICE TELEPHONE NUMBER BANKING & 01 HLR CHL.L)I I CARD RELA I :U:.SH PS PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? OYES ONO VISA BUSINESS OR f:ORPORATF CARO? nyes PNO MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO IIIIIIMIM

5 _% of the New Balance, shall be paid with. in 25 days after the Closing Date of that thing statement. Payments must be made al Bankcard Center, Milwaukee. Wisconsin, 53288-0200. Payments made at any other location may cause delay in crediting the I account. Payments received after 2.00 P.M. on any Mo

ITY: STATE: ZIP CODE: YEARS AT ADDRESS OWNERSHIP STATUS: TIOWN FIRENT MOTHER: POSITION WITH COMPANY: 3 PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? nYES nNo VISA BUSINESS OR CORPORATE CARD? nYES nNo MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO MONTHLY MO