BANK ATLANTIC “KID POWER” SAVINGS PROGRAM NEW ACCOUNT INFORMATION SHEET
Instructions: Please follow these instructions below when completing this application. All information must be supplied for the account to be opened. If you have any questions, please feel free to call Bank Atlantic at (772) 546-2700, Ext. 7. Thank you for your time and have a wonderful day! 1. Please print legibly in blue or black ink. 2. Please put this completed form in an envelope and seal it, or fold this sheet and seal it (tape, staple, etc.). 3. Please write “SeaWind Banking Program” on the outside. 4. Return this New Account Information Sheet to SeaWind Elementary’s front office (you or your child). 5. Once the account is opened, Bank Atlantic will mail a Signature Card to your home for you and your child to sign and return. Student Information Student Name: Social Security Number: Date of Birth: Place of Birth: Mother’s Maiden Name: Teacher’s Name: Parent Information Parent Name: Physical Address: Mailing Address: City: Social Security Number: Date of Birth: Place of Birth: Mother’s Maiden Name: Driver’s License Number: State Issued: Telephone Number: Employer’s Name:
(Last Revised 9/9/08)
Grade Level:
Zip:
Date Issued: Home
Expiration Date Work