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• Reissue of credit card

Reissue of credit card

Credit Card Reissue request

From (Full name in genitive case) *
Card number (four digits shown on the card)
The card issued in favor of Mr/Ms (Name and surname shown on the card in Latin transcription)
Contact telephone *
Reason for re-issue	Card expiredCard was damagedCard has been lostLost PIN-codeChanging the name of the holder, imprinted on the cardCard was degaussed
Type of the card*	Visa ElectronVisa ClassicVisa BusinessVisa GoldMasterCard StandardMasterCard Gold
The card is valid until (shown on the card, DD/YY)
Term of the reissued card *	1 year 2 years 3 years
RF passport or other ID (state the type of the ocument)*
Series*
Number*
Date of Issue *	(DD/MM/YYYY)
Issued by*
*	Herewith I confirm that I was informed about “Evropeisky” ICB commission tarrifs for physical persons.
Your e-mail address*

* - Required fields