72651_ App_web

N EW A CCOUNT I NFORMATION F ORMMONEY MARKET DEPOSIT ACCOUNTINITIAL DEPOSIT: $CERTIFICATE OF DEPOSIT (CD) ACCOUNTAMOUNT DEPOSITED: $TERM DESIRED: (check one)6 months 24 months 48 months12 months 30 months 60 months18 months 36 months days/months(must be at least 180 days or 6 months)CD INTEREST PAYMENT OPTIONS:Interest is compounded daily and reported in the year when it is paidor credited to you. Please indicate the interest payment method andfrequency that you prefer below:Credit to CDMonthlyAnnuallyQuarterly Defer to MaturitySemiannually(available only for terms of 1 year or less)Credit to MBNA® Money Market Account#MonthlyAnnuallyQuarterly Defer to MaturitySemiannually(available only for terms of 1 year or less)Electronic Interest PaymentsIf you would like to receive electronic interest payments from your CDAccount, please contact an MBNA Investor Services representative toobtain an ACH Authorization Form.ACCOUNT TYPE: (Please check one.)❑ Individual❑ Joint❑ Informal Trust (ITF—In Trust For)❑ Formal Trust (Date of Trust Required)❑ UTMA (Uniform Transfers to Minors Act)ACCOUNT REGISTRATION: (Please print clearly the exact registration foryour Account.)DEPOSITOR (TAXPAYER ID OWNER)□ DEPOSITOR OR □ BENEFICIARY (CHECK ONE)□ DEPOSITOR OR □ BENEFICIARY (CHECK ONE)MAILING ADDRESSMAILING ADDRESSCITY, STATE, ZIP( ) ( )HOME PHONE❑ Sole Proprietorship❑ Partnership❑ Corporation (Attach Corporate Resolution)❑ Non-Corporate Organization❑ OtherBUSINESS PHONECODE WORD: This Code Word may be used to identify the Depositorwhen calling MBNA’s Investor Services department regarding this Account.CODE WORDC USTOMERI NFORMATIONFEDERAL LAW REQUIRES USTOCOLLECT AND VERIFY NAME, DATE OFBIRTH, SOCIAL SECURITY NUMBER OREMPLOYER IDENTIFICATIONNUMBER, AND PHYSICAL STREET ADDRESS OF EACH DEPOSITOR. IF THE INFORMATION REQUESTED BELOW IS NOT PROVIDED, WEMAY NOT BE ABLE TO OPEN YOUR ACCOUNT. IF THIS INFORMATION IS PROVIDED BUT CANNOT BE VERIFIED, YOUR ACCOUNT MAYBE CLOSED.Please complete the information below for each Depositor on your Account. This information is required for each authorized signer, whichincludes Account owners, powers of attorney, custodians of minors, and trustees. Beneficiary information is not required.For Corporate Accounts, the following information is required: Business Name, Employer Identification Number and Physical Street Address.DEPOSITOR #1 INFORMATION(TAXPAYER ID OWNER)PLEASE PRINT CLEARLYDEPOSITOR #2 INFORMATIONDEPOSITOR #3 INFORMATIONNAMENAMENAMEDATE OF BIRTH (MM/DD/YYYY)DATE OF BIRTH (MM/DD/YYYY)DATE OF BIRTH (MM/DD/YYYY)SOCIAL SECURITY OR EMPLOYER IDENTIFICATION NUMBERSOCIAL SECURITY OR EMPLOYER IDENTIFICATION NUMBERSOCIAL SECURITY OR EMPLOYER IDENTIFICATION NUMBERSTREET ADDRESS (NO P.O. BOX)STREET ADDRESS (NO P.O. BOX)STREET ADDRESS (NO P.O. BOX)STREET ADDRESS (NO P.O. BOX)STREET ADDRESS (NO P.O. BOX)STREET ADDRESS (NO P.O. BOX)CITY STATE ZIPCITY STATE ZIPCITY STATE ZIPPLEASE CONTINUE ON REVERSE–SIGNATURE(S) REQUIRED(OVER)

TAXPAYER IDENTIFICATION AND CERTIFICATION:MBNA requires signatures and Taxpayer Identification Number (TIN) certification to open an Account. A delay of TIN certification will resultin backup withholding of interest earned.Please indicate your Taxpayer Identification Number for this Account: #- -Is this your: (check one) ❑ Social Security Number or ❑ Employer Identification NumberThis number belongs to: (Please print.)TAXPAYER I DENTIFICATION AND C ERTIFICATIONNAME OF PERSON, ORGANIZATION, OR TRUSTSIGNATURE: (Signature of Taxpayer ID Owner is required.)Please read the following statement before signing. Under penalties of perjury, I certify (1) that the taxpayer identification number shown onthis form is my correct taxpayer identification number, and (2) that I am not subject to backup withholding either because I have not been notifiedthat I am subject to backup withholding as a result of a failure to report all interest or dividends or because the IRS has notified me that I amno longer subject to backup withholding, and (3) I am a U.S. person (including a U.S. resident alien). NOTICE: Strike out item (2) above if youhave been contacted by the IRS that you are currently subject to backup withholding because of underreporting interest or dividends on your taxreturn (and the IRS has not terminated that notice).❑ I am a non-resident alien and have submitted an IRS form W-8 BEN. The above backup withholding certification does not apply to me.The IRS does not require your consent to any provisions of this document other than the certifications required to avoid backup withholding.Signatures of all Account owners are required below. The Taxpayer ID owner signs first certifying the Social Security or EmployerIdentification Number. BENEFICIARIES DO NOT SIGN.DEPOSITOR’S SIGNATURE (U.S. PERSON) (TAXPAYER ID OWNER)DATEDEPOSITOR’S SIGNATUREDATEDEPOSITOR’S SIGNATUREDATEIMPORTANT INFORMATION: You may make wire transfersfrom this Account if you have signed wire instructions on file withMBNA America. If you wish to have wire capability, please callto request a Deposit Account Wire Transfer Agreement.BEFORE MAILING:• Please be sure you have completed all information on bothsides of this New Account Information Form.• Obtain signatures of ALL Depositors (Account owners).• Enclose your deposit check, payable to MBNA America.Please mail this form and your deposit to:MBNA America Bank, N.A.P.O. Box 15322Wilmington, DE 19850-5322We value your business.Thank you for choosing MBNA.FOR BANK USE ONLYRef #________________________ Acct.#________________________HA090DAWEPriority Code______________ Campaign ________Rate Code ___________ Interest Rate_________ Eff Date___________W/H Code __________ Prep Int. ___________MBNA and MBNA America are federally registered service marks of MBNA America Bank, N.A. ©2003 MBNA America Bank, N.A.450-407 Rev. 9/03