TO ALL DEBIT CARD TRANSACTIONS IN FOREIGN CURRENCY. THE FEE WILL BE APPLIED TO THE CONVERTED AMOUNT IN US DOLLARS. CONFIDENTIAL SDNY GM 00014902 cccowessss •0001•0033AWBPRVONIT8102SSIOD 01 CONFIDENTIAL FirstBankPRO02065 EFTA_00 125545 EFTA01270148 THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR STATEMENT TO VERWY YOUR CFSECKBOOK B