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I/we the undersigned herby apply or Homewtown National Banks Round Up Savings Program and apply for a personal checking account(s) and/or savings account(s), and/ or debit card, if I/we do not already have such. All accounts must be maintained in the same name. The undersigned further authorizes the Bank to transfer funds from my/our (A) account, identified above, to my/our account (B), identified above, at such time as any electronic debit transaction is rounded to.

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