Mastercard® Debit Card CUSTOMCASH ATM CARD

® MasterCard Debit Card MasterCard® Debit Card and CustomCash ATM Card Application If you’re looking for an ATM card that you can also use just Please Check One: MasterCard® Debit Card CustomCash ATM Card ® like a check to make purchases wherever MasterCard is ® accepted, then the Winter Hill Bank MasterCard Debit Card 1. Tell Us About Yourself is your best choice. If this is a joint checking account, please note that all account holders must complete and sign this application. It’s A More Convenient Way To Shop Name ______________________________________ Name You’ll avoid the hassle of carrying around a bulky checkbook Address ______________________________________ Address when you use your Winter Hill Bank Debit Card. That’s ______________________________________ because your card works like a check, but lets you Social Security No. ________________________________ Social Security No. conveniently pay for purchases anywhere you see the Date of Birth ________________________________ Date of Birth MasterCard® or NYCE® symbols. Then, the amount of your Home Phone ________________________________ Home Phone purchase is deducted directly from your checking account. Work Phone ________________________________ Work Phone With your Winter Hill Bank Debit Card, shopping is more convenient than ever before. 2. Please indicate below your accounts you wish to access with your card Easy Access to Our Worldwide ATM Network Primary NOW/Checking Acct. No.* Primary NOW/Checking Acct. No.* Secondary NOW/Checking Acct. No. Secondary NOW/Checking Acct. No. Getting cash with the Winter Hill Bank Debit or ATM Card Primary Statement Sav. Acct. No. Primary Statement Sav. Acct. No. has never been easier. Your card gives you access to ATMs Secondary Statement Sav. No. Secondary Statement Sav. No. across the U.S. and around the world. So you’ll save money and enjoy greater access to cash when and where you need it! Applicant Signature(s): By signing below I/we (i) certify that everything contained in this application is complete and true, (ii) authorize the bank to obtain a consumer report and other credit and employment information about Monitor Your Spending with Ease me/us; (iii) authorize the bank to exchange any credit information about me/us which relates to this application or to any credit extended by you as a result of this application; and (iv) agree to be bound by all terms and conditions in the With the Winter Hill Bank Debit Card, you’ll have one of the Winter Hill Bank Electronic Funds Transfer Agreement and Winter Hill Bank’s Personal Deposit Account best ways of managing your money. You’ll get a receipt with every purchase and every cash withdrawal. And, all of your Agreement. purchases are itemized on your monthly statement. You’ll have a detailed report of your spending, including date, place __________________________________________________ and amount of the purchase. Signature of Applicant Date Signature of Joint Applicant Date So, say goodbye to carrying around bulky checkbooks or *MasterCard® purchases are deducted from this account. *MasterCard® purchases are deducted from this account. waiting for lengthy approvals. Now, there’s an easier way to make purchases and get cash. It’s Winter Hill Bank’s FOR OFFICE USE ONLY MasterCard® Debit Card. Date Account Opened ______/______/______ NSF______________________________________________ CUSTOMCASH ATM CARD Onboard______________________________ Balance ________________________________________ Winter Hill Bank’s CustomCash ATM Card offers you access to your money 24 hours a day, 365 days a year. Card #1 ___________________________________ Card #2 ________________________________________ Convenience and Security Limit _________________________________ Debit Card Coordinator Approval ____________________ It allows you access to your cash when you need it, where you need it!! Your card plus your Personal Identification Number Card Ordered ______/______/______ (P.I.N.) provides you alone with access to your account. .

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