Customer Service: 1-855-511-6407 Web Site: www.refreshfinancial.caDCB Customer Service: 1-844-836-6040 CARDHOLDER AGREEMENT FOR A SECURED PREPAID CARDbetweenDigital Commerce Bank and the Cardholder noted belowCardholder Agreement for a Secured Prepaid Card • November 8th, 2021 • Alberta
CARDHOLDER INFORMATION & AGREEMENT By signing this Agreement, you, as the Cardholder, acknowledge having (i) received and read the entire Agreement, (ii) accepted its terms and conditions, and (iii) agreed to the card fees that are detailed below. First Name: Middle Name: Last Name: Alias: Phone Number (Home): Cell Phone Number: Street Address: City: Province: Postal Code: Citizenship: Birthdate: Email: Occupation: Employer Name: Employer Street Address: Employer City: Employer Province: Employer Postal Code: Employer Business Telephone Number: Cardholder’s Signature: Date:
