• OK Credit Limit Requested is required
  • Account Choice

    OK Account Choice is required
  • IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money laundering activities, Federal laws require all financial institutions to obtain, verify and record information that identifies each person who opens an account. What this means to you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

Personal Information

  • OK Name is required
  • OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • OK Home Phone is required
  • Optional OK Daytime Phone is required
  • OK Email is required
  • OK Present Employer is required
  • OK Occupation is required
  • OK Length of time with current employer is required
  • OK Years employed in this profession is required
  • OK Gross Income (Annual) is required
  • Alimony, child support or separate income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Contact Information

  • How would you prefer to be contacted?

    OK How would you prefer to be contacted? is required
  • When is the best time to arrange an appointment?

    OK When is the best time to arrange an appointment? is required

Address Information

  • OK Residential Address (Not a P.O. Box) is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK How long at residence? is required
  • Use residential address for mailing address

    OK Use residential address for mailing address is required
  • OK Mailing Address (if different than above) is required
  • OK City is required
  • OK State is required
  • OK Zip is required

Co-Borrower Information

  • OK Name is required
  • Date of Birth

    OK Date of Birth is required
  • OK Social Security Number is required
  • OK Home Phone is required
  • Optional OK Daytime Phone is required
  • OK Residential Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK Present Employer is required
  • OK Occupation is required
  • OK Length of time with current employer is required
  • OK Years employed in this profession is required
  • Optional OK Co-Borrower's Gross Income (Annual) is required

Credit Disclosure

  • OK is required
  • PLEASE READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING: This statement is submitted to obtain credit and I/We certify that all information herein is true and complete. I/We agree that inquiries may be made to verify information and that credit references or verifcation may be given based on inquiries from other parties. This offer is subject to the credit policies of the institution. I/We agree to be bound by the terms and conditions of the cardholder agreement, a copy of which will be mailed to the borrower if this application is granted, receipt of such agreement and acceptance of such terms to be conclusively presumed by the borrower's use. If you intend to apply for joint credit, the undersigned shall be jointly and severally liable for any and all credit extended from time to time. We may report information about your account to the credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report.