APPLY FOR SHAZAM® CHEK CARD

If you would like a printable Shazam Chek Card application click here.

Applicant	* Required Fields
Account Number(s)
Name *
Address
City
State
Zip
Phone Number (Home) *
Phone Number (Mobile)
Social Security Number *
Date of Birth
Employer
Employer Phone Number

Co-Applicant
Name
Address
City
State
Zip
Phone Number (Home)
Phone Number (Mobile)
Social Security Number
Date of Birth
Employer
Employer Phone Number
By clicking submit, the undersigned request(s) the described services and agrees to the terms and conditions governing the services, including any fees and charges. If this is a joint application, the undersigned shall be jointly and severally liable for any and all debit card transactions. Both parties must sign if a joint account is desired. The undersigned agree(s) that all information is accurate and authorizes the financial institution to verify credit and employment history by any necessary means, including preparation of a credit report by a credit reporting agency.