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Pre-Application

Thank you for your interest in United Bank Card's services. 

 

Please fill out the pre-application below, and a sales representative in the appropriate department will contact you immediately. 

 

 

Company Name:

 

Contact Name:
Mailing Address:
City, State, Zip:
Product/Service Sold:
Business Phone:
Fax:

Email:

Do you currently accept credit cards? Yes   No

Have you previously taken credit cards?

Yes   No

Additional Comments: