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Deposit/Savings Plan

Please tick as appropriate *

DepositSavings

First Name *

Middle Name

Last Name *

Phone Number *

Email Address

Value of Investment (Word) *

Value of Investment (Figure) *

Source of Funding *

Value Date *

Account Number to debit *

Bank Name *

Deposits Only

Preferred options of interest payment

Frequency *MonthlyQuarterlyHalf-YearlyYearly

Tenor *30 Days60 Days90 Days180 Days270 Days360 Days

NOTE:

Roll-over will be at Surbpolitan's prevailing interest rate

Saving Only

Frequency *

Monthly

Repayment Interest Credit Account Number *

If you have any questions, kindly give us a call and we will be glad to hear from you.

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