PREPAID CARDHOLDER AGREEMENTPrepaid Cardholder Agreement • January 16th, 2015 • Alberta
Contract Type FiledJanuary 16th, 2015 JurisdictionCUSTOMER INFORMATION & AGREEMENT By signing this agreement the undersigned Customer acknowledges having (i) received and read the entire agreement, (ii) accepted the terms and conditions set out herein, and (iii) agreed to the card fees detailed herein. DCBank’s acceptance of this agreement and the Prepaid Cardholder Agreement (if fully completed) shall beevidenced by the issuance of a Prepaid Card to Customer and the activation of that Prepaid Card for use by Customer. Customer First Name: Customer Middle Name: Customer Last Name: Customer Phone Number (Home): Customer Phone Number (Work or other): Customer Street Address: City: Province: Postal Code: Customer Occupation: Customer Birthdate Cell Phone Number: Customer Email: Customer's Signature: X AUTHORIZATION: TEXT/SMSNOTIFICATIONI wish to receive transaction & balance information by text / SMS. (see Sections 22 & 23 below for privacy details) YES AUTHORIZATION: EMAIL NOTIFICATION: I wish to receive transaction & balance informat
AGREEMENTPrepaid Cardholder Agreement • January 29th, 2014
Contract Type FiledJanuary 29th, 2014CUSTOMER INFORMATION & AGREEMENT The undersigned Customer acknowledges having read the entire agreement and accepts the terms and conditions set out below. DCBank’s acceptance of this agreement and the Prepaid Cardholder Agreement (if fully completed) shall be evidenced by the issuance of a Prepaid Card to Customer and the activation of that Prepaid Card foruse by Customer. Customer First Name: Customer Middle Name: Customer Last Name: Customer Phone Number (Home): Customer Phone Number (Work or other): Customer Street Address: City: Province: Postal Code: Customer Occupation: Customer Birthdate Cell Phone Number: Customer Email: Customer's Signature: X Authorization: I wish to receive transaction &balance information by text / SMS: YES(see Sections 21 & 22 below for privacy details) Authorization: I wish to receive transaction & balanceinformation by email: YES(see Sections 21 & 22 below for privacy details)
AGREEMENTPrepaid Cardholder Agreement • January 23rd, 2014 • Alberta
Contract Type FiledJanuary 23rd, 2014 JurisdictionCUSTOMER INFORMATION & AGREEMENT The undersigned Customer acknowledges having read the entire agreement and accepts the terms and conditions set out below. DCBank’s acceptance of this agreementand the Prepaid Cardholder Agreement (if fully completed) shall be evidenced by the issuance of a Prepaid Card to Customer and the activation of that Prepaid Card for use by Customer. Custo er First Name: Customer Middle Name: Customer Last Name: Customer Phone Number (Home): Customer Phone Number (Work or other): Custo er Street Address: City: Province: Postal Code: Custo er Occupation: Customer Birthdate Cell Phone umber: Customer Email: Customer's Signature: X Authorization: I wish to receive transaction &balance information by text / SMS: YES(see Sections 21 & 22 below for privacy details) Authorization: I wish to receive transaction & balanceinformation by email: YES(see Sections 21 & 22 below for privacy details)