MyTime Wallet - Order the MyTime Wallet Account with a Mobile Banking Phone Application

MyTime Wallet / Debit Mastercard Account Activation

Personal Information*

First Name *

Middle Name

Last Name *

Date Of Birth * (MM-DD-YYYY) --

Address 1 *

Address 2

City *

State

Zip Code *

Contact Information*

Email Address *

Confirm Email Address

Contact Number *

Security Information*

Username *

Password *

Password Strength

Password Confirm

Hint for a secure username

Use 6 to 60 characters. You may use letters, numbers, and special characters. Email addresses are allowed.

PIN * (4 digits)

Confirm PIN (4 digits)

Your information is secure.

Security Question *

Security Answer *

Create your own security question and answer. This is a very secure method for us to verify who you are during a customer service call.

Mobile Wallet Number*

Device Platform

Mobile Number * (no dashes / no country code)

Mobile Carrier

Currency

ALTERNATE SMS NUMBER

For your security, our system will send a security code via SMS to your mobile number whenever you login from a new device. If the number you are using is not a mobile number, please provide an alternate number below that is able to receive SMS messages, and we will send the security codes to the alternate number instead.

Use Alternate SMS

Alternate Mobile Number please do not add your country code

Alternate SMS Carrier

Social Security Number or ITIN*

Social Security Number or ITIN * --

USA Patriot Act Notice

To help the government fight the funding of terrorism and money laundering activities, federal law requires us to obtain, verify and record information that identifies each person opening an account. If you choose to create an MyTime Wallet account, you must provide us with information that will allow us to verify your identity, including (but not limited to) your name, Social Security Number, physical mailing address, and date of birth.

Credit Card Load

Credit Card Loading

By adding funds to your MyTime Wallet account from your credit card, you will have the ability to pay your wireless bill, send funds to another MyTime Wallet account, and make purchases at affiliated merchants, and, if you associate a checking or savings account with your MyTime Wallet account, you may transfer funds to that account. There is a 3.00% fee that will be added to the total amount of your load request. Your credit card information will also be securely stored to make future loading and purchases more convenient. Your credit card information will never be shared with any other entity.

Type of Card

Card Number

Name on Card

Expiration Date (MMYY)

CVV (3 or 4 digits)

Nickname for Card

Amount to Load ($20 min)

Decline Credit Card Load

Checking / Savings Account Load

Checking / Savings Account Loading

By adding funds to your MyTime Wallet account from your checking or savings account, you will have the ability to pay your wireless bill, send funds to another MyTime Wallet account, and make purchases at affiliated merchants. The load (and processing fee of $1.00) will be deducted from your checking / savings account upon verification of the micro payments being sent to your checking / savings account. Your checking / savings account information will never be shared with any other entity.

Type of Account

Name on Account

Routing Number

Confirm Routing Number

Bank Account Number

Confirm Bank Account Number

Amount to Load ($20 min)

Nick Name for Account

Add a Personalized Debit MasterCard Account to my Mobile Wallet Account

Debit MasterCard

By adding a Debit MasterCard account to your MyTime Wallet account, you will be able to move funds from your MyTime Wallet account balance (quasi savings account) to your Debit MasterCard account (quasi checking account) in real-time and for FREE. You can also use funds on your Debit MasterCard to pay bills, retrieve cash from virtually any ATM around the world, and make purchases anywhere MasterCard is accepted.

Nickname *

SSN *

Govt. ID Issue Country *

Govt. ID Issue State *

Govt. ID Type

Govt. ID *

Govt. ID Issue Date

Govt. ID Exp. Date

Billing Address

First Name *

Last Name *

Address 1 *

Address 2 *

City *

State *

Zip or Postal Code *

Country *

Shipping Address Use Billing Address for Shipping

First Name

Last Name

Address 1

Address 2

City

State

Zip or Postal Code

Country

Add a Generic Companion Card to my Mobile Wallet Account

Companion Card

Adding a companion card will allow you to easily send money to that card at any time. Companion cards can be mailed to loved ones abroad, or to domestic family members. Same functionality as your primary Debit MasterCard but with a generic non personalized name. Companion cards will be mailed to you within 7-10 days and can be easily activated online when you receive them. Limit 5 per customer.

Add E-Signature

* means the field is required.

MyTime Wallet User Agreement