EFTA00186550¶
facsimile transmittal¶
| To: | Felicia | Fax: | ||
| From: | Jeff Desmond/Colonial | Date: | 6/17/2003 | |
| Re: | Cards | 2 | ||
| CC: | ||||
| Urgent | For Review | Please Comment | Please Reply | Please Recycle |
Colonial Bank 320 Lakeview Avenue West Palm Beach, FL 33401¶
EFTA00186551¶
A/P Tracking Number:¶
| CREDIT CARD ACCOUNT MAINTENANCE Account Record, Card, PIN | ||
| Acct# Name: Shannon Parciv2. Business Name: | For Marital Property Status Only | |
| Account Record Changes | ||
| Close Account | ||
| Cards Returned | Married Not Married Legally Separate | |
| Be-Open Account | Spouse's Name | |
| Add Soc. Sec. #: | Street Address | |
| Add Telephone # | City, State, ZIP | |
| Business From: | Card Insurance | |
| Name Change From: | Card Insurance | |
| Address Change to City, State, ZIP | Order New Card for Must mark below to indicate the type of card ordered | |
| Add Cardholder | Send Card: | |
| Order Card | Normal Delivery - 7 to 10 days | |
| Delete Cardholder | Express Delivery - 2 days ($10.00 charge) | |
| Add User Card | Saturday Delivery ($10.00) | |
| Delete Authorized User | Faxcard - 1 day ($20.00 charge) | |
| Add Credit Rating | Saturday Delivery ($10.00) | |
| Add Type Code | Charge: Cardholder Financial Institution Address to Mail Card: | |
| Add Automatic Payment Detection TR&R | Name Street Address City, ST, ZIP | |
| Checking Acc# | Charge Cardholder Replacement Card Fee of $ | |
| Minimum payment | PIN Insurance | |
| Delete automatic Payment Deduction | Order PIN Reminder PIN Federal Express - 3 days ($10.00 charge) | |
| Add E-mail Address | Charge: Cardholder Financial Institution Send PIN to Alternate Address Below | |
| Add Mother's Maiden Name | Name Street Address City, State, ZIP | |
| Add Secondary CH SS# | Balance/Payment Transfers | |
| Add Secondary CH DOB | Transfer balance of $ From account # To account # | |
| Add Secondary CH Daytime Phone | Transfer payment of $ From account # To account # | |
| Add Fax Number | Convenience Checks | |
| Add Cell Phone# | Send Convenience Checks - # of books | |
| Add Pager Number | Name Street Address City, State, ZIP | |
| Privacy Option | ||
| Insurance | ||
| Add insurance | *Using insurance, attach a signed copy of the insurance application | |
| Free Text Messages/Miscellaneous Instructions | ||
| Financial Institution Name: Colonial Bank | Date: 8/6/03 | |
| Authorized Signature: | Bank # Agent # | |
| Telephone: | ||
| Name: Jeffrey Deamand | Ext. | |