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Last update: 05/13/08




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2008 ICBA Bancard Visa 365 Participation Authorization Form

Please fill in all fields below, including your central mailing address (No P.O. Boxes) and contact information for the campaign materials and updates.

By completing this form and returning it to ICBA Bancard you will receive free Visa 365 marketing materials and $3 for every Visa credit card account you open.

No purchase or obligation is necessary (View Program Rules). Deadline to register is June 20, 2008.

Required Contact Person:
Required Bank Name:
Required Number of Locations:  (Number of Kits*)
Required Address (No P.O. Boxes):
Required City:
Required State:
Required Zip:
Required Phone Number:
  Fax:
Required Email:
AUTHORIZATION:
Required As an officer of the bank, I give my authorization for our bank to participate in ICBA Bancard's Visa 365 Account Acquisition Campaign.
Required Officer's Name:  
 

* If you’re enrolling your agent banks or affiliated banks in a holding company in this promotion, you must submit a detailed list of all your agents’ information including agent ID number and mailing address via email to mirna.saravia@icba.org.

Required indicates a required field




ICBA Bancard & TCM Bank | 1615 L Street NW Suite 900 | Washington, DC | 20036 | bancard@icba.org | (800) 242-4770

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