INTEREST PARTICIPATION FORM

Please fill in your details on the following form, in order to contact you. The personal information that you will fill-in in this form will be used to service you in the best posible way, regarding the needed information for the specific product.

On the day and time that you will select, one of our Customer Service agents will call you in order to answer any questions you may have.

During this phonecall, if you wish, you can apply for the personal reloadable Cyprus Prepaid Card.

I hereby declare that I have taken note for this site's Terms and Conditions, regarding the personal data protection, and I accept them.

Family Name
Name
Father's Name
Mobile Number
Home or Office Telephone Number
Existing relationship with Bank of Cyprus	Yes No
When can we call you? (*)	Day/s: Please SelectMondayTuesdayWednesdayThursdayFridayMon - FriSaturday Time: From:     To:
* Please, bear in mind that there will be a delay of one business day.
Comments
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