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. $14.00 for single order or $18.00 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.