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Referral Form

Ameriana's Make a Difference Charity program is available for new checking account customers, as well as existing Ameriana customers who refer a new checking relationship to Ameriana.  To qualify, new checking customers must open a personal checking account with a Visa® Check Card prior to June 30, 2010.  Upon Check Card approval, $25 will be credited to the new checking account.  Please allow up to 30 days for non-profit organization to receive $25 donation.  Referred parties must bring in completed referral form at account opening.  Referrals without a designated non-profit will be ineligible.  Referring party must be an existing customer with account(s) in good standing.  Limit 12 referrals per customer.  Existing checking customers aren't eligible for $25 deposit or donation if they open additional checking accounts.  Offer expires June 30, 2010.  Ameriana may modify or cancel program at any time.  Not to be used in conjunction with any other offer.  Member FDIC.

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