Prepaid Debit CARD APPLICATION NAME OF PRODUCT FIRST NAME LAST NAME ADDRESS ADDRESS CITY STATE ZIP PHONE EMAIL ADDRESS SSN# DL# & STATE DATE OF BIRTH GENDER MOTHER’S MAIDEN NAME Four Oaks Prepaid Visa Debit Card ® Congratulations! 100% Approval!* Male Female Get your Prepaid Visa® Debit Card NOW! CARD COST FUNDS ON CARD (Minimum of $20) $20 You can manage your account ONLINE or by PHONE! Check Money Order *The USA Patriot Act is a Federal Law that requires all financial institutions to obtain, verify and record information that identifies each person who opens an account. You will be asked to provide your name, address, date of birth, and other information that will allow us to identify you. You may also be asked to provide documentation as proof of identification. "100% Approval" and "No One is Turned Down" is contingent upon successfully passing this mandatory identification confirmation. AMOUNT OF PAYMENT METHOD OF PAYMENT PHOTO ID Make checks payable to “Ace Management Group”. Separate form per card. You must attach a photocopy of the front and back of your drivers license or approved government id Benefits • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Keep track of your family’s expenses No More Check Cashing Locations. Stop losing your Income ($$). Send Money to Friends and Family. Online and Offline Access. Take your card from Job-to-Job. Direct Deposit from your Employer. Low cost fees. Get your income tax refunds directly deposited. Purchase online Rent a car Reserve a hotel room 24/7 ATM Access to Funds. No Credit Check No Bank Account Required No Security Deposits No Employment Verification Keep your Money safe. No more need for Money Orders or walking around with large amounts of cash in your pocket Pay your bills over the phone Set up Automatic Bill Payments from your Visa®. Eliminate check-writing hassles Avoid late payment fees Save postage costs and time The cardholder may only withdraw funds or make purchases up to the balance on the card. You cannot overdraft the account. No interest or finance charges 24 X 7 On-Line Account Access Multiple Options to place money onto your Visa® Prepaid Cash Card. Unlike traditional credit cards, the Visa® Prepaid Cash Card does not extend you credit. Instead, the accounts are prepaid for a specific amount while still being backed by Visa® for universal acceptance. There is no line of credit and accounts are only good for the balance applied. F. A. Q. Where can the Prepaid Visa® Debit Card be used? The Prepaid Visa® Debit Card can be used anywhere credit cards is accepted. It acts just like a credit or debit card. The plastic card can be used at any store, online and offline. The prepaid cash card can be used at any website or catalog. Can I use my Prepaid Visa® Debit Card to purchase online? Yes, you can always use your Prepaid Visa® Debit Card to purchase at your favorite stores on the web. How much does it cost to use the Prepaid Visa® Debit Card? The fees for the Prepaid Visa® Debit Card are listed in the Card Holder Agreement which you receive with your card. Some fees are as follows: POS transactions (PIN) $0.55 ATM transactions $1.50 Monthly maintenance $4.95 I received a Prepaid Visa® Debit Card in the mail. What do I do now? The first step to using your new Prepaid Visa® Debit Card is to activate it. You will receive detailed instructions on how to activate your card along with your card. Once your card has been activated, call us at (910) 485-0814 so we can load your initial funds to your card. You can use it to shop at your favorite stores, anywhere Visa® is accepted. Why do I need to go through so many steps to activate my Visa® Prepaid Debit Card? We require these steps to protect you. These steps ensure that the card goes to the intended recipient. Can I add money to my Prepaid Visa® Debit Card account? Yes, your card is re-loadable. You can add money with using the following ways: Direct Deposit, e-Wallet, Western Union, Wire Transfer or Card-to-Card. Can I withdraw money from an ATM? Yes, you may withdraw money from any ATM that displays the Visa® logo. I am requesting a Prepaid Visa® Debit Card to be issued in my name. I understand that this is not a credit card and I must add funds to use it. I agree to accept all terms and conditions associated with the issuance and use of the card. Signed: Date: TELL A FRIEND! Help someone else who would benefit by owning a card and make some extra money! Just make a copy of this application with your card number printed on it. When they purchase a card we will credit the account number listed at the bottom with $5 to show our appreciation for your efforts! Referred by Card# - - Please credit their card $5.00 at no cost to me! Thank you for purchasing a Prepaid Product from Ace Management Group, Inc. Follow these simple steps, and you will be on your way to receiving your card! Mail your application and payment to: ACE MANAGEMENT GROUP, INC 1903 BRAGG BLVD, SUITE 1 FAYETTEVILLE, NC 28303 (910) 485-0814 www.AceManagementGroup.com You can expect your new card to arrive in 2 to 3 weeks from the time we receive your payment and properly completed application. Once you have received your card, be sure to review ‘Terms and Conditions’ and other instructions that come with your card carefully. Please contact us upon completing the activation so your initial funds can be applied to your card. REMEMBER: ENCLOSE YOUR PAYMENT!