EFTA00186528¶
| Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE Credit Card Services | ||
| Acct# Name ADAM BERRY LARG Business Name NES LLL Account Record Changes Clone Account Cards Returned Cards Not Returned Re-Open Account Remove Reissue Block Add Soc. Sec.: Sec. # Add Telephone # Home Business From: To: Address Change To: City, State, ZIP Add Cardholder Order Card Do Not Order Card Delete Cardholder Add Authorized User Order Card Do Not Order Card Delete Authorized User Delete Credit Rating Delete Credit Rating Add Type Code Delete Type Code Automatic Payment Deduction TR/# Checking Acc# Minimum payment Previous balance Delete Automatic Payment Deduction Add E-mail Address Add Mother's MEd Name Add Secondary CH SS# Add Secondary CH DOB Add Secondary CH Daytime Phone Add Fax Number Add Call Phone# Add Pager Number Privacy Option | ||
| Insurance Add Insurance Delete Insurance If adding insurance, attach a signed copy of the insurance application Free Text Message/Micellarophone Instructions Financial Institution Name Authorized Signature Print Name: Ann 001 229-999-MOSK8 (TX) | ||
| For Marital Property States Only Married Not Married Legally Separated Spouse's Name Street Address City, State, ZIP Card Issuer Order New Card for Must mark below to indicate the type of card ordered Send Card Normal Delivery -7 to 10 days Express Delivery -2 days ($10.00 charge) Saturday Delivery ($10.00) Fastcard -1 day ($20.00 charge) Saturday Delivery ($10.00) Charge: Cardholder Financial Institution Address to Mail Card: Name Street Address City, ST, ZIP Change Cardholder Replacement Card Fee of $ PIN Issuer Order PIN Reminder PIN Federal Express -3 days ($10.00 charge) Charge: Cardholder Financial Institution Send PIN to Alternate Address Below Name Street Address City, State, ZIP Balance/Payment Transfers Transfer balance of $ From account # To account # Transfer payment of $ From account # To account # Convenience Checks Send Convenience Checks - # of books Name Street Address City, State, ZIP |
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