Bankomatiko Contactless Smart card

Please fill in with capital letters.

(a) New Application - Fill in Section 1 and 2.
(b) Changed Details - Fill in Section 1 (Client Number always) and indicate changes or enter “DELETE” where required in Section 1, 2.
(c) Service Request - Fill in Section 1 (Client Number only) and 3 where required.

At least one account must be entered

The undersigned hereby applies to The Windward Islands Bank Ltd. for the BANKOMATIKO Smartcard facility and certifies that the information contained above is true and correct.

PLEASE TAKE NOTE THAT IF YOUR ATM CARD OR PIN IS NOT PICKED UP WITHIN TWO MONTHS (60 DAYS) YOUR ACCOUNT WILL BE CHARGE A FEE OF US $10.00 PER ITEM.