Card Design Request Form

Email Address Please limit length of email to 100 characters {{updateValidationErrorMessage('personalEmail1','max')}} Please fill in a valid email address {{updateValidationErrorMessage('personalEmail1','email')}}

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Organization Business ID (BID) (required) Please enter your BID {{updateValidationErrorMessage('bin2','required')}} Please enter your BID {{updateValidationErrorMessage('bin2','min')}} Please enter your BID {{updateValidationErrorMessage('bin2','max')}} Please enter without special characters {{updateValidationErrorMessage('bin2','regex')}}

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Please provide Card Design ID (Comma Separated, 25 designs maximum) Card Design ID {{updateValidationErrorMessage('id1','min')}} Card Design ID {{updateValidationErrorMessage('id1','max')}}

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Please provide BIN range for selected Card Designs (required) Please provide BIN range {{updateValidationErrorMessage('bin1','required')}} Please provide BIN range {{updateValidationErrorMessage('bin1','min')}} Please provide BIN range {{updateValidationErrorMessage('bin1','max')}}

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Please upload your Logo (PNG 800x450)

Uploading

Invalid file upload. Please check the file and try again

Successfully uploaded

Please upload acceptable file formats {{updateValidationErrorMessage('fileupload','ext')}} Files are limited to 8MB {{updateValidationErrorMessage('fileupload','size')}}

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Please agree with terms and conditions {{updateValidationErrorMessage('termsAndConditions1','required')}}

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