V I S A B U S I N E S S C H E C K C A R D A P P L I C A T I O N
YES! Send me the FREE card that works like a check, only better!
Company Legal Name
______________________________________________________________________________________________ Signature of Officer Signing for the Company I am requesting the Business Check Card(s) for the designated authorized user(s). All cardholders are 18 years of age or older. By signing below, the Account Owner and all authorized users agree to the terms of the Business Check Card Electronic Funds Transfer Agreement you will receive with your cards and the Depository Agreements and Disclosures as applicable to the Business Accounts.
____________________________________ Title
_____________________________________________________ Business Checking Account Number to be Linked to Check Card(s)
--
Business Phone
____ / ____ / ____ Date
Requested Cards: To request a card, please sign and print your name below. You must be an authorized signer on Bank Signature
Card and Resolution. Cards will be sent to the statement address.
Name(s)
Signature - Card 1
Print Name
--
Social Security Number
Signature - Card 2
Print Name
--
Social Security Number
Please choose a 4-digit PIN:
Card 1
__ __ __ __ 4-digit PIN
Card 2
__ __ __ __ 4-digit PIN
Please mail to:
Colorado State Bank & Trust
Attn: Bankcard/CRF Department
1600 Broadway
Denver, CO 80202
YES! Send me the FREE card that works like a check, only better!
