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Get Skylight Paycard Enrollment Form

SKYLIGHT PAYCARD ENROLLMENT FORM I understand that USA Drivers pays via direct deposit. In lieu of providing direct deposit information I am electing to enroll in the Skylight Paycard Account Program that is being made available to me through USA Drivers. I hereby authorize USA Drivers to initiate credit entries and to initiate if necessary debit entries and adjustments for any credit entries in error to my Skylight Paycard Account as indicated and the depositories named to credit and/or debit the same to such accounts. This paycard Account is offered through SunTrust U*S* Bank and is fully insured by the FDIC. The program allows me to participate in direct deposit to an individual paycard account with immediate access to my funds each payday where I can obtain 100 of payment each pay period without incurring any fees. This authority is to remain in full force and effect until USA Drivers has received notice from me terminating this authorization in such time and in such manner as to offer USA Drivers and my financial institutions a reasonable opportunity to act on it. ENROLLMENT STEPS 1. Complete the enrollment information below don t forget to sign and date the form* 2. Upon receipt of your personalized card call Skylight at 888 431-0785 to create your personal identification number PIN and activate your Skylight debit card. Your card cannot be used until it is activated ENROLLMENT INFORMATION MUST BE COMPLETED LEGIBLY Name Address Phone Number City State ZIP Date of Birth Social Security Number SIGNATURE DATE WHEN COMPLETE PLEASE SEND BACK TO USA Drivers Inc* If you have any questions or need more information please contact your local USA Drivers office. This authority is to remain in full force and effect until USA Drivers has received notice from me terminating this authorization in such time and in such manner as to offer USA Drivers and my financial institutions a reasonable opportunity to act on it. ENROLLMENT STEPS 1. Complete the enrollment information below don t forget to sign and date the form* 2. ENROLLMENT STEPS 1. Complete the enrollment information below don t forget to sign and date the form* 2. Upon receipt of your personalized card call Skylight at 888 431-0785 to create your personal identification number PIN and activate your Skylight debit card. Upon receipt of your personalized card call Skylight at 888 431-0785 to create your personal identification number PIN and activate your Skylight debit card. Your card cannot be used until it is activated ENROLLMENT INFORMATION MUST BE COMPLETED LEGIBLY Name Address Phone Number City State ZIP Date of Birth Social Security Number SIGNATURE DATE WHEN COMPLETE PLEASE SEND BACK TO USA Drivers Inc* If you have any questions or need more information please contact your local USA Drivers office. This authority is to remain in full force and effect until USA Drivers has received notice from me terminating this authorization in such time and in such manner as to offer USA Drivers and my financial institutions a reasonable opportunity to act on it. ENROLLMENT STEPS 1. Complete the enrollment information below don t forget to sign and date the form* 2. Upon receipt of your personalized card call Skylight at 888 431-0785 to create your personal identification number PIN and activate your Skylight debit card. .

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