EFTA00186555¶
| Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE Credit Card Services | |
| Acct# Name Andrew Mitchell Business Name NSS LLC | |
| Account Record Changes | |
| Close Account | For Marital Property States Only |
| Cards Returned | Married Not Married Legally Separated |
| Open Account | Spouse's Name Street Address |
| Remove Reissue Block | City, State, ZIP |
| Add Soc. Sec. # | City, State, ZIP |
| Add Telephone # | Send Card: Order New Card for Must mark below to indicate the type of card ordered |
| Home | Normal Delivery - 7 to 10 days |
| Business | Express Delivery - 2 days ($10.00 charge) |
| From: | Saturday Delivery (Add $10.00) |
| To: | Fastcard - 1 day ($20.00 charge) |
| Address Change to | Saturday Delivery (Add $10.00) |
| City, State, ZIP | Charge: Cardholder Financial Institution Address to Mail Card: Name |
| Add Cardholder | Street Address City, ST, ZIP |
| Order Card | Charge Cardholder Replacement Card Fee of $ |
| Delete Cardholder | Order PIN Reminder |
| Add Authorized User | PIN Federal Express - 3 days ($10.00 charge) Charge: Cardholder Financial Institution |
| Order Card | Send PIN to Alternate Address Below |
| Delete Authorized User | Name Street Address |
| Delete Credit Rating | City, State, ZIP |
| Delete Type Code | Balance/Payment Transfers |
| Add Automatic Payment Detection TR# | Transfer balance of$ From account # To account # |
| Checking Ace# | Transfer payment of$ From account # To account # |
| Minimum payment | Balance/Payment Transfers |
| Previous balance | Transfer balance of$ From account # To account # |
| Delete Automatic Payment Deduction | Transfer balance of$ From account # To account # |
| Add E-mail Address | Transfer balance of$ From account # To account # |
| Add Mother's Maiden Name | Transfer balance of$ From account # To account # |
| Add Secondary CH SS# | Transfer balance of$ From account # To account # |
| Add Secondary CH DOB | Transfer balance of$ From account # To account # |
| Add Secondary CH Daytime Phone | Transfer balance of$ From account # To account # |
| Add Fax Number | Transfer balance of$ From account # To account # |
| Add Cell Phone# | Transfer balance of$ From account # To account # |
| Add Pager Number | Transfer balance of$ From account # To account # |
| Privacy Option | Transfer balance of$ From account # To account # |
| Insurance | Transfer balance of$ From account # To account # |
| Add Insurance | Transfer balance of$ From account # To account # |
| Delete Insurance | Transfer balance of$ From account # To account # |
| Free Text Messages/Miscellaneous Instructions | Convenience Checks Send Convenience Checks - # of books Street Address City, State, ZIP |
| Financial Institution Name: Colonial Bank Authorized Signature: Bank # 1580 Agent # 934 Print Name: Jeffrey Password: Ext. | |