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or Holder, is authorized use. Lost or stolen cards or PINs should be reported immediately to Issuer by notifying BankCard Center. P.O. Box I 1 I I, Madison, WI 53701.1111, Telephone (608)8294100 or 1-8004214920. Holder shall be liable for all charges, fees and other costs that accrue on each account.
% 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
• . Agent Date: 233.107 MIDSbc (11/00) Dank # I 53- EFTA01701003 - JUL. b.eucia 10:21AM N0.158 P.1/2 Metavante Corporation P.O, Box 1111 Madison, WI 53701-1111 metavante.com Fax Metavante" Date: 07.05.04 Pages: To: From: COLONIAL BANK Metavante Corporation Fax: Senders Phone:
Chase Bank OF ACCOUNT(S): Personal account of Guarantor ' OTHER ACCOUNTS OLOAN OSAVINGS ACCT °CREDIT CARD PRIMARY BANK B S H CKING ACCOUNT # Palm Beach Bank nCHECKING ACCOUNT (LOAN f13AVINGS ACCOUNT nCRFDIT CARD AMERICAN EXPRESS ACCOUNT NUMBER: DATE OPENED: BALANCE: CORPORATE CARD? nYFS nNo VISA
, or Holder, is authorized use. Lost or stolen cards or PINs should be reported immediately toissuer by notifyi Bankcard Center,. P.O. Box 1 t 11, Madison, WI 53701.1111, Telephone IM or 1-800;221-5920. Holder shall be liable for all charges, fees and other costs that accrue on each account. 4. Credi
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
r, or Holder, is authorized use. Lost or stolen cards or PINs should be reported immediately to Issuer by notifying Bankcard Center, P.O. Box 1111, Madison, WI 53701-11 11, Telephone (608) 829- 6100 or 1.800-221.5920. Holder shall be liable for all charges, lees and other costs that acaue on each accoun
% 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
r. or Holder, is authorized use. Lost or stolen cards or PINs should be reported immediately to issuer by notifying Bankcard Center, P.O. Box 1111, Madison, WI 53701-1111, Telephone (608) 829- 6100 or 1-800-221-5920. Holder shall be liable for at charges, lees and other CiastS that accrue on each accoun
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
Entities connected to both Madison and Palm Beach Bank

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