Card Services Application
I understand that I am the only individual authorized to use the card
and/or PIN and that use of the card and/or PIN signifies agreement to
the terms and conditions set forth in the Cardholder Agreement and Disclosure
Statement which will be furnished to me. If applying for the Visa Debit
Card, the above information may be used to obtain a credit report.
Identification Number (PIN)
The individual with access to ATM Card, Visa Debit Card, Visa Gold Debit
Card or HSA Card must designate a 4-digit Personal Identification Number
(PIN).To select your PIN, enter four numbers below. This number
is the key to the security of your accounts. Once entered into our system,
it is destroyed and unavailable to anyone. If you would like to change
your PIN number, you may contact the Electronic Banking Department or
your local branch.