Last 4 of Account #:
Last 4 of SSN:
Starting Check Number:
At which branch would you like to pick up your checks?
Any changes needed on checks?
*A charge may apply for ordering checks that we will debit from your account automatically. $15.00 for single order or $19.00 for duplicate order. (Duplicate checks are checks that come with carbon paper under each check for keeping copies.)
If your account provides checks for free, you will not be charged.
** If you would like your checks mailed to you there is an additional fee of $6.00 which will be charged to your account. Please provide your shipping address in the field for other notes.
*** You can send us comments, questions, or suggestions by e-mail. Please remember, however, that this is an unsecured message, so do not include confidential personal information such as account numbers, social security numbers, or other sensitive information, other than the info above needed to complete the order.