Business Development Evaluation Form

Please complete the form below so that First Electronic Bank can properly respond to your partnership request. If you are not certain on the answer to a specific question, please indicate 'unknown'.

A First Electronic Bank representative will be in touch with you within 48 hours of this form being submitted.

Thank you for your interest in First Electronic Bank.


What is the name of the Business.





















Start-up, or, <5 years, provide Capital Investment Amount, and Current Cash Position.


Name of Principals or Capital Investors









If this is NOT a credit product enter 'NA'


The min and max amount load allowed on the card. If not a Prepaid product enter 'NA'.


If not a Credit Product enter 'NA'.





















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