EFTA00186518 A/P Tracking Number
Metavante Corporation Credit Card ServicesCREDIT CARD COLLECTIONS AND MONETARY CHANGES
Account Number:
Name:
Street Address:
City:
Business Name: NOS, LLC
Collections
Restrict Account - R9Limit Increase to $10,000.
Zero Cards to ResumeLimit Decrease to $
List on Exception FileChange Corporate Account Limit to $
Restrict on ATM AccessReverse Finance Charge of $
Stop InterestReverse Late Charge Fee of $
Stop Late ChargeReverse Over Limit fee of $
Stop StatementsReverse Insurance Fee of $
Stop Overlimit / Past Due NoticesReverse Current Membership Fee
Minimum Payment Due This CycleWalve Membership Fee Permanently
Fix PaymentReverse Replacement Card Fee $
Re-Age accountReverse Convenience Fee $
Erase Past Due StatusReverse NSF Fee $
31-60 #timesReverse Premium Fee $
91-120 #timesReverse Returned Check Fee $
Remove R9 Restrictions
Free Text Messages/Miscellaneous Instructions
Financial Institution Name:PBNB Date: 3/14/02
Authorized Signature:Bank # Agent #
Print Name:Telephone Ext.
For Metavante Use Only
Completed by VerificationDate
233-6998 MIDScr (1201)
Fax R9 requests to Collections, others to Account Processing,