Debit Card Application
The First Bank of Owasso Debit Card
You can use your First Bank of Owasso debit card 24 hours a day wherever MasterCard is accepted,
and at ATM locations everywhere. The amount of the transaction is simply deducted from your
checking account.
Application
(A First Bank of Owasso checking account is required.)
By my signature, I request a First Bank of Owasso debit card as indicated below. I have been instructed
by First Bank of Owasso to memorize my Personal Identification Number (PIN), never to write it on my
card, and never to tell anyone my PIN. I have also received and read the liability disclosures concerning
the use of my card. I certify that all cardholders are 18 years of age or older.
 Please send me a First Bank of Owasso Debit Card
Account Number
___________________________________________
Account Number
___________________________________________
Account Number
___________________________________________
Account Name
___________________________________________
Cardholder Name 1 ___________________________________________
Cardholder Name 2 ___________________________________________
Address
___________________________________________
City, State
_____________________________
ZIP ____________
Note: Accounts other than your primary checking and primary savings are accessible at full-service
transaction devices only.
Signature
_____________________________
Date ____________
Personal Identification Number
Do not select “0000”, any part of your Social Security Number, or birthdates for the PIN.
Please complete, print, and mail to:
First Bank of Owasso
Attention: Client Services
P.O. Box 1800
Owasso, OK 74055-1800