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TeleNet Paycard Direct Deposit Form
Print Name___________________________________ Date__________________ Bank Name: Central National Bank of Enid,
OK To have your entire payroll deposited to your card, check here _______ To have a portion of your payroll deposited to your card, enter the amount here: $_______________ Signature______________________________________ Make a copy of this form for your records and give the original to your employer. Please call 877-775-2733 for any questions.
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