TheBANK of Edwardsville

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Please print this form and mail it to:

TheBANK of Edwardsville
Attention: Card Services
330 West Vandalia
Edwardsville, IL 62025

OR fax this form to our Card Services Department at 618.659.6324. If you require assistance completing the form, please contact us at 618.656.0057 or visit one of our convenient banking centers.

TheBANK of Edwardsville  | 330 West Vandalia, Edwardsville, IL 62025  |  618.656.0057  |  866.545.0098
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