BC Debit Card VIP Form - BananaCrystal

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Name

First

Last

Please provide your first and last names

Phone Numbers

Please provide your reachable phone number

Please ensure the Email address is the same used for your card request

Your Request

What Service would you like to request for?

Additional Information

Please add additional information to help us process your request (e.g: date range for statement of account, or activate VIP bypass 7 days).

If requesting a VIP Bypass, you hereby acknowledge that once activated, there shall be no provision for chargebacks on debit card transactions. You also acknowledge that the spend limit can be limited by the merchant's bank.