CP

1033

5/V

2/07

13

Multi-currency Cash Passport™ is issued by R. Raphael & Sons plc, pursuant to license by MasterCard International. MasterCard and the MasterCard Brand Mark are registered trademarks of MasterCard International Incorporated.

A BETTER WAY TO MANAGE TRAVEL MONEY

Application FormPlease read the information set out in this leaflet.

Complete in CAPITALS

Cardholder

Title (Mr/Mrs/Ms/Miss):

First Name(s):

Last Name:

Date Of Birth:

Address:

Postcode:

Country:

Home Phone:

Mobile Phone:

Email:

Currency and Amount required:

By signing below, you agree to be bound by the terms and conditions provided with the Card, a copy of which is available on request from the sales consultant. Applicants must be a UK resident, aged 18 or over. If, after purchasing the Card, you decide not to accept the terms and conditions, you must contact the Card Services team and not use your Card.

Signature:

Date:

This section of the form will be destroyed once your application has been processed.

Cardholder's

Mother’s Maiden Name:

Tick this box if you require an Additional Card – for you to use in case your first Card is lost, stolen or damaged.

Fees

Card fee FREE

Top-up fee for loads and reloads into GBP purse (also known as reload fee)

2%

Top-up fee for loads and reloads into all other Currency purses (also known as reload fee)

FREE

Paying in shops, restaurants, hotels and online(some merchants may charge an extra fee)

FREE*

Using a cash machine+ (Some operators charge an extra fee)

£1.50 e1.75 US$2.30 AU$2.30 CA$2.40 NZ$3 ZAR20

Withdrawing cash over the counter in a bank£4 e4.70 US$6.20 AU$6

CA$6.40 NZ$8 ZAR50

Additional Card FREE

Cashing out at a participating branch Check with the branch

Cashing out through Card Services (except in an emergency)

£6 e7 US$9.50 AU$9CA$9.50 NZ$25 ZAR140

Shortfall fee£10 e15 US$15 AU$20 CA$20 NZ$25 ZAR140

Replacement Card FREE

Transferring money from one Currency to another (also known as Currency transfer fee, subject to an exchange rate determined by us)

5.75%

Not using your Card for a long time? If you don’t use your Card for 12 months (also known as inactivity fee) this fee will be taken off your balance each month+

£2

Foreign exchange fee 5.75%

Fees and Limits

Limits

Maximum total balance (Including all Currencies) £5,000

Maximum load and reload over 12 months(The most you can load onto all prepaid cards issued to you by us during any 12 month period, including all Currencies)

£30,000

Minimum load and reload £50

Withdrawing cash from cash machines(some operators may set their own limits)

£500 per 24hrs

Withdrawing cash over the counter in a bank £150

Spending money in shops, restaurants etc. (Some merchants may set their own limits)

£3,000 per 24hrs

Maximum number of Additional Cards 1

Card lifetime See Card for expiry date

Maximum number of tries when entering your PIN Three in each 24-hour period

Maximum number of active accounts at any one time 1

These fees and limits can change. You can find out more in your terms and conditions. We keep the latest version online at www.cashpassport.com/multi

* Merchant transactions and cash machine withdrawals in a Currency other than a Currency available on the Card will be exchanged to a Currency on the Card at an exchange rate determined by MasterCard® on the day the transaction is processed, increased by 5.75% (the foreign exchange fee).

+ If, following the debit of any monthly inactivity fee, the Card Fund balance is less than the fee, we will waive the difference.

USD EUR GBP AUD CAD NZD ZAR

This table shows how much you pay for different Multi-currency Cash Passport services.

This table shows the limits on using your Card. The limits are given in GBP but they include all the Currencies loaded on to the Card.

MULTIPLE CURRENCIES ON ONE CARD

SAFER THAN CARRYING CASH

TOP IT UP AND USE IT AGAIN AND AGAIN

ACCEPTED WORLDWIDE JUST LIKE YOUR BANK CARD

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Buying your Multi-currency Cash Passport is as easy as 1, 2, 3

We need to identify you, so you’ll need to fill in the Application Form, have a valid photo ID and be a UK resident aged 18 or over.

You’ll need to pay for the Currency (or Currencies) that you wish to load onto the Card. Please ask a member of staff for payment options.

Once loaded, your Card will be given to you and will be ready to use straight away. You don’t need to do anything other than start spending!

Want to get one?Ask a member of staff or visit www.cashpassport.com/multi for more information.

MULTI-CURRENCY CASH PASSPORT™

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FXC

P01

For office use only

To be completed while the customer is present.

Card Number:

Currency Code:

Starting Balance:

Commission:

Payment method:

Cash Debit Card Credit Card

Cardholder

ID document seen:

Driving Licence (EU/EEA or Switzerland)

Passport National ID (EU/EEA or Switzerland)

ID Number:

ID Date Of Issue:

ID Expiry Date:

ID Country/Place Of Issue:

Agent Reference Number:

AdditionalCard Number:

A better way to manage travel moneyJoin the many travellers who are now using Multi-currency Cash Passport as one of their flexible travel money products. Combining the security of travellers cheques with the convenience of plastic.

Here’s how it works…Multi-currency Cash Passport is a prepaid travel card. Prepaid means that you load funds onto the Card before you travel. You can load the Card in store when you buy it and add more money when you need it. Please visit www.cashpassport.com/multi for available top-up channels.

You can then use the Card abroad to withdraw your cash from cash machines or to buy things, anywhere you see the MasterCard® Acceptance Mark.

…and this is what makes it smartThe Card always knows the right Currency to use wherever you are in the world. Just make sure you load the correct available Currency for your destination. If the local currency is not an available Currency on your Card or you don’t have enough of the relevant Currency for the transaction, your other Currencies will be used to pay the bill. If this happens, you will pay a foreign exchange fee, so ideally it’s best to always keep your Card topped up with the Currency of the country you are travelling to. The fees and limits table has more information.

Multi-currency Cash Passport makes it easy to explore the world…Multi-currency Cash Passport offers you the choice of multiple Currencies on one Card. You can load one Currency or many, the choice is yours! Plus, you can use the Card at 2.1 million cash machines and 35.9 million locations worldwide displaying the MasterCard Acceptance Mark.

…and it helps keep your travel money safeUsing Multi-currency Cash Passport is a safe and smart way to carry your travel money. If cash is lost or stolen, it’s gone for good. However, you don’t have that worry with money loaded onto a Multi-currency Cash Passport; if your Card is lost or stolen, our 24/7 Card Services team can arrange a Replacement Card or emergency cash up to the available balance on the Card (subject to availability in the relevant location).

You can manage your money online…Visit www.cashpassport.com/multi, where you can log in to 'My Account' and check your balance, view recent transactions and move money between Currencies.

…and spend it online tooYou can also use your Card to make purchases online, subject to fees and limits.

And, you’ll have lots of helpful people to support you Our Card Services call centre is based in the UK, filled with helpful people and open 24/7, 365 days a year.

Don’t use this Card to…Whilst your Card is really adaptable, it’s not suitable for everything. You shouldn’t use your Card as a deposit with car hire companies, hotels or cruise lines. This is because they will estimate the final bill and will require a sum of money to be reserved on your Card to cover this. You will not be able to spend the reserved amount for some time.

Be warned...When you use your Card overseas, you may get the choice of paying in Pounds Sterling. By choosing to pay in the local currency instead, you may avoid an extra foreign exchange conversion at additional cost to you.

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Use this Card to…

Buy presents for yourself, friends and family – in shops and online!

Pay for meals and trips out

Pay in local Currency