EFTA00186535

# Metavante Corporation Credit Card Services

## COMMERCIAL CARD PRODUCTS – INDIVIDUAL ACCOUNT INFORMATION

Please indicate Commercial Card Product type:
- **VISA**
- **MasterCard**
- **Business**
- **Corporate**

Company Name: NES LLC
Company Number: Corporate Account

### SECTION I - AUTHORIZED USERS

| Name | Credit Line | Cash Advance Capability |
| :--- | :--- | :--- |
| Karen L Gordon | 4,000 | "D" or % of Limit Pin Y/N |
| Mothers Maiden Name (Optional) | Social Security Number (Optional) | Home telephone # (Optional) |

Reporting Unit (Optional)
Div. ID Div. Name Dept. ID Dept. Name

General Ledger # Assigned *

Taxable Y/N* MEA Y/N*

Account Number (Metavante Use)

Cardholder billing address

City State ZIP Code

Special Handling Instructions: □ Federal Express

Plastic address if different from Cardholder billing address:

City State ZIP Code

Name | Credit Line | Cash Advance Capability |
| :--- | :--- | :--- |
| Bruce M Gordon | 4,000 | "D" or % of Limit Pin Y/N |
| Mothers Maiden Name (Optional) | Social Security Number (Optional) | Home telephone # (Optional) |

Reporting Unit (Optional)
Div. ID Div. Name Dept. ID Dept. Name

General Ledger # Assigned *

Taxable Y/N* MEA Y/N*

Account Number (Metavante Use)

Cardholder billing address

City State ZIP Code

Special Handling Instructions: □ Federal Express

Plastic address if different from Cardholder billing address:

City State ZIP Code

Name | Credit Line | Cash Advance Capability |
| :--- | :--- | :--- |
| mothers Maiden Name (Optional) | Social Security Number (Optional) | Home telephone # (Optional) |

Reporting Unit (Optional)
Div. ID Div. Name Dept. ID Dept. Name

General Ledger # Assigned *

Taxable Y/N* MEA Y/N*

Account Number (Metavante Use)

Cardholder billing address

City State ZIP Code

Special Handling Instructions: □ Federal Express

Plastic address if different from Cardholder billing address:

City State ZIP Code

Visa Purchasing Card Options
- Y=Yes, N=No, D=Default to Company Set-up (if yes, indicate % of limit available for cash)

Financial Institution Name: Colonial Bank
Authorized Signature: [Signature]

Agent # Bank #
Date: 5/16/03



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