Application Form

To sign-up you must have a Centier Checking account, Visa^® Debit Card and Savings / Money Market account. Business accounts are not eligible. Required Information*

Date 00138

First Name

Last Name 00149

Street Address 00140

Apt. # 00141

City/Town 00142

State

Zip 00144

E-mail Address 00145

Re-enter E-mail Address 00146

Checking Account Number

Where do I find my account number?

Savings Account Number

Where do I find my account number?

Note: It will take 3 to 5 Business Days for changes to take effect.

Terms and Conditions 1Health Savings Accounts and business accounts are not eligible. Round Up Savings (RUS) will make your non-even dollar amount purchases with a Centier Visa® Debit Card round up to the next whole dollar. The amount in excess of the purchase price (RUS amount) is transferred from your checking account to your savings/money market account. RUS amounts will accumulate for one RUS transfer to your savings/money market account per day. You must be an account owner on each checking and savings/money mrket account you enroll. Visa® Debit Cards can be linked to one savings/money market account. All Visa® Debit Cards connected to the checking account(s) will round up to savings/money market account. Both signature and PIN transactions made with Centier Visa® Debit Cards qualify for RUS. ATM transactions do not qualify for RUS. Centier reserves the right to modify the program at any time.

Savings/money market accounts tied to RUS require a $25 minimum opening deposit. Monthly savings minimum balance fees will be waived provided there is at least one RUS transfer per month. Savings fee structure reverts to standard account requirements if RUS is discontinued. Account rates are subject to change. Fees may reduce earnings. All other account disclosures remain unchanged.

I agree to the above terms and conditions.

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