EFTA00186513¶
A/P Tracking Number:¶
M&I Data Services¶
EFD Card Services¶
COMMERCIAL CARD PRODUCTS – INDIVIDUAL ACCOUNT INFORMATION¶
Please indicate Commercial Card Product type: ☐ VISA ☐ MasterCard ☐ Business ☐ Corporate ☐ Purchasing¶
Company Name: NES LLC Company Number: Corporate Account:¶
SECTION 1 - AUTHORIZED USERS¶
| Name | Credit Line | Cash Advance Capability † “D” or % of Limit Pin Y/N |
|---|---|---|
| Mothers Maiden Name (Optional) | Social Security Number (Optional) | Home telephone # (Optional) |
| City | State | ZIP Code |
| Special Handling Instructions: □ Federal Express | ||
| Plastic address if different from Cardholder billing address: | City | State |
Name¶
| Name | Credit Line | Cash Advance Capability † “D” or % of Limit Pin Y/N |
|---|---|---|
| Mothers Maiden Name (Optional) | Social Security Number (Optional) | Home telephone # (Optional) |
| City | State | ZIP Code |
| Special Handling Instructions: □ Federal Express | ||
| Plastic address if different from Cardholder billing address: | City | State |
Name¶
| Name | Credit Line | Cash Advance Capability † “D” or % of Limit Pin Y/N |
|---|---|---|
| Mothers Maiden Name (Optional) | Social Security Number (Optional) | Home telephone # (Optional) |
| City | State | ZIP Code |
| Special Handling Instructions: □ Federal Express | ||
| Plastic address if different from Cardholder billing address: | City | State |
Account Number (EFD Use)¶
| Name | Credit Line | Cash Advance Capability † “D” or % of Limit Pin Y/N |
|---|---|---|
| Mothers Maiden Name (Optional) | Social Security Number (Optional) | Home telephone # (Optional) |
| City | State | ZIP Code |
| Special Handling Instructions: □ Federal Express | ||
| Plastic address if different from Cardholder billing address: | City | State |
Account Number (EFD Use)¶
| Name | Credit Line | Cash Advance Capability † “D” or % of Limit Pin Y/N |
|---|---|---|
| Mothers Maiden Name (Optional) | Social Security Number (Optional) | Home telephone # (Optional) |
| City | State | ZIP Code |
| Special Handling Instructions: □ Federal Express | ||
| Plastic address if different from Cardholder billing address: | City | State |
- Visa Purchasing Card Options ↑ Y=Yes, N=No, D=Default to Company Set-up (if yes, indicate % of limit available for cash)*
Rate Code I¶