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MasterMoney Card |
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II. APPLICANT INFORMATION
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Primary
Applicant's Information:
(include suffix (Jr., Sr.) if applicable)
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Joint
Applicant's Information:
(include suffix (Jr., Sr.) if applicable)
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This card should be linked to my checking Account
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For purchases and ATM use.
This card should be linked to my Savings Account
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For purchases and ATM use (optional).
Daily Dollar Limit:
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VI. AUTHORIZATION TO
OPEN ACCOUNT(S)
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Please read before signing:
By signing below I (we) authorzie Brown
County State Bank to verify or obtain further information
bank may deem necessary concerning my (our) credit history.
I (we) authorize you to make whatever credit and/or investigative
inquiries deemed necessary in connection with this application
and to exchange information with others regarding my (our)
card transaction.
If this application is approved and a
Brown County State Bank Master Money Card is issued, I
(we) understand I (we) will receive a copy of the Bank's
Electonic Funds Transfer Agreement and Disclosure and
agree to abide by and be bound by its terms.
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Applicant
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Date
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Joint Applicant |
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Date
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Bank Use Only
Checklist to Setup or close our Card
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ATM MAG |
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PBF |
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CARDMGR |
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MLLINK |
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PCLINK |
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# BOOK |
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Double check to make sure the application is completely filled
out, print it and sign it, and mail it to:
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