Savings Bank
Merchant Services Referral Form
Follow these steps
1. Complete this form. You may also attach a business card with your contact information.
2. Email completed form to asbreferrals@cardconnect.com.
3. For assistance, please call (808) 626-5600.
Important: This referral form provides general information only and is not a contract for service.
17A011-W (1/17)
CUSTOMER INFORMATION
COMMENTS (List any additional important information and notes here)
Business Contact Name Name of Business
Business Phone Number
Mobile Phone Number Email Address
Best Time to Contact:
AM
PM
Phone EmailPreferred Method of Contact:
BANK USE ONLY
Branch
Employee Name
Date
Employee Number
Member FDIC
asbhawaii.com