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(GIC) Application - Alberta Motor Association

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Joint Applicant Information continued (if applicable)<br />

Title<br />

First Name<br />

Initial(s)<br />

Last Name<br />

Date of Birth<br />

Social Insurance Number (mandatory)<br />

Home Phone Number<br />

Alternate Phone Number<br />

Email Address<br />

Home Address<br />

City Province Postal Code<br />

Current Occupation<br />

Previous Occupation (if less than three years ago)<br />

Self-Employed?<br />

Yes No<br />

<strong>GIC</strong> Details<br />

Please refer to our website at bridgewaterbank.ca for information on our current <strong>GIC</strong> products or contact us at 1-866-243-4301.<br />

<strong>GIC</strong> Product Name<br />

Term Selected<br />

Amount<br />

$<br />

Please select how you will be paying for your <strong>GIC</strong>:<br />

By cheque †<br />

Withdrawal from my/our account at another financial institution by electronic funds transfer*<br />

Please select the type of interest payment you would like to receive on your <strong>GIC</strong>:<br />

Paid at Maturity (required for terms less than one year)<br />

Paid Monthly<br />

Paid Annually<br />

Compounded Annually and Paid at Maturity (available on terms of 2 years or longer)<br />

Please select how you would like to receive your interest payment(s) on your <strong>GIC</strong>:<br />

Deposit to my/our account at another financial institution by electronic funds transfer*<br />

Mail me/us a cheque to the address of the primary applicant listed above (available only where you<br />

have selected “Paid Annually” under “Interest Payment Type” above)<br />

Deposit to my/our Bridgewater Bank Smart eSavings account number<br />

Please indicate what you like to happen when your <strong>GIC</strong> matures. We will contact you prior to your maturity date to confirm your choice:<br />

Deposit to my/our account at another financial institution by electronic funds transfer*<br />

Deposit to my/our Bridgewater Bank Smart eSavings account number<br />

Auto-Renew into the same <strong>GIC</strong> type and term as indicated on this application, as follows:<br />

Principal and interest<br />

Principal only, with interest paid as selected above under “Interest Payment Method”<br />

Page 2 of 3<br />

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