“The Card That Works Like a Check”
First National Bank’s Visa Check Card provides a
convenient way to access your checking account.
Use it to purchase goods and services at millions
of locations worldwide, anywhere Visa debit
cards are accepted.
Use it to get cash and perform other banking
transactions at any ATM.
The amount of your purchase is deducted from
your checking account, just as if you had written
a check.
CHECK CARD APPLICATION
First National Bank of Mount Vernon
Cypress Springs
Downtown
(903) 860
860--3774
(903) 537
537--2201
Brookshire's Grocery Store
First Access Number: (903) 537
537-- 7000
www fnbmv.com
.
APPLICATION
(A First National Bank checking account is required)
APPLICANT
I understand this CARD will provide access to the following accounts:
Primary Checking Account________________________________
Primary Savings Account _________________________________
Name (First-MI-Last)___________________________________
Address_______________________________________________
City_____________________ State_______ Zip Code__________
Primary Telephone ______________________________________
Date of Birth ___________________________________________
Social Security Number___________________________________
CO-APPLICANT
Another Card To Be Issued In The Following Name
Name (First-MI-Last)_________________________________
Address (if different from application)________________________
City_____________________ State_______ Zip Code___________
Primary Telephone________________________________________
Date of Birth_____________________________________________
Social Security Number____________________________________
Please send me a First National Bank Check Card. If I do not qualify for a Check Card,
Please consider this an application for an ATM Card.
SIGNATURES: By signing below, the undersigned is requesting a First National Bank
ATM/CHECK CARD. The undersigned further understands that the ATM/CHECK CARD
will allow access to any of the accounts listed above.
The undersigned has been instructed by First National Bank to memorize the (PIN);
never to write it on the card; and never to tell anyone the (PIN) except people who are
authorized to sign on the account and even this disclosure is at the undersigned’s discretion.
The undersigned has also received a copy at account opening of the liability disclosures
concerning the use of the ATM/CHECK CARD. Further, the undersigned agrees that all
information is accurate and authorizes First National Bank to verify credit and employment
by any necessary means, including preparation of credit report by a credit reporting agency.
____________________________
Signature Of Applicant
___________________________
Date
____________________________
___________________________
Signature Of Co-Applicant
Date