Server/Bartender

PO Box ***, STN Agincourt, Scarborough ON M*S *K* 1-888-***-**** simplii.com

“SIMPLII FINANCIAL” and the SIMPLII FINANCIAL DESIGNS are trademarks of CIBC.

“Simplii Financial” is a division of CIBC. Banking services are not available in Quebec. your signature card

You understand that Simplii FinancialTM services are provided by Canadian Imperial Bank of Commerce (CIBC)

("we", "us" and "our") and that your relationship with us will be governed by the terms and conditions set out in the Simplii Financial products and services agreement brochure provided in your welcome kit and available at simplii.com. If you are a new Simplii Financial customer you hereby request that we activate your Simplii Financial card. You agree to be bound by the terms in the products and services agreement brochure immediately upon activation of your card. Please make sure that you have carefully reviewed all terms and conditions in the products and services agreement brochure relating to your use of the card prior to its activation. You consent to the collection, use and sharing of your personal information as described in our privacy policy. This includes collecting, during the course of your relationship with us, information about you from, and sharing it with, the CIBC Group, credit bureaus, government institutions or registries, mutual fund companies and other issuers, regulators and self-regulatory organizations, other financial institutions, any references you give us, and other such parties as may reasonably be required for the purposes of: (i) identifying you; (ii) qualifying you (or someone you are providing a guarantee for) for products and services; (iii) verifying information you give us; (iv) protecting you and us from error and criminal activity; (v) facilitating tax and other reporting; (vi) complying with legal and regulatory obligations; or (vii) telling you about other products and services of the CIBC Group. If you wish to withdraw your consent to (vii) you may contact us at 1-888-***-**** at any time. You will not be refused products or services just because you withdraw your consent to the use of your information for marketing purposes.

Our privacy policy is available by calling 1-888-***-**** or visiting www.cibc.com. This policy may be amended, replaced or supplemented from time to time. The CIBC Group includes CIBC and its Canadian affiliates that offer deposits, loans, mutual funds, securities trading, portfolio management, investment counseling, mortgages, credit cards, trust services, insurance, and other products and services. date signature

your customer number:

your name

your address

city province postal code

7034 IS-2017/10 Page 1 of 1