Visa* Olympic Games Prepaid Card - RBC Royal Bank



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|RBC® Visa‡ Prepaid Incentive Cards |

|PROGRAM REQUEST FORM |

|Thank you for your interest in RBC Visa Prepaid Incentive Cards. |

|Please complete the following Program Request Form and return it by email to sales@ |

|A member of our Client Services Team will contact you within 2 business days to complete the set up of your program |

|CONTACT INFORMATION |

|Legal Company Name |Company Website |

|      |      |

|Contact Name |Phone Number |E-mail Address |

|      |(       )       -       |      |

| I would like to receive email communications and updates from RBC Royal Bank® regarding RBC Visa Prepaid Incentive Cards. |

|PROGRAM TYPE |

|Describe how the cards will be used (select all that apply) |

| |

|PROGRAM DETAILS |

|Approximate Number of Cards per Year: 100 – 999 1,000 – 4,999 5,000 – 9,999 10,000 + |

|Approximate Value per Card ($25 - $2,500 CAD): $      |

|HOW DID YOUR HEAR ABOUT US? |

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|COMMENTS |

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® Registered trademarks of Royal Bank of Canada. RBC and Royal Bank are registered trademarks of Royal Bank of Canada.

‡ All other trademarks are the property of their respective owner(s).

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SLS-003-E (05/2013)

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