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1. Which type of network association do you desire?
VisaMasterCardCash ATM CardRestricted Authorization Network CardATM/POS ApplicationsEFT/ eWallet/ mWallet ApplicationsOther

If Other please specify:

2. Which type of co-branded customized card program do you desire?*
General Purpose Reloadable (GPR)Government PrepaidCorporate Prepaid SolutionsPayroll CardTravel CardRemittance CardOther (i.e. gift card, etc)

3. In which geographic areas will your card program activate accounts?
North AmericaLatin AmericaEuropeAsiaMiddle EastEastern EuropeGlobalOther

4. What is the approximate number of debit cards / accounts that your organization expects to activate during the next 12 months?
1,000-10,00010,000-50,00050,000-100,000100,000+Just need a few hundred