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Debit Card Order Form

INSTRUCTIONS: Please fill-out the information below. Then, click the 'Submit' button.
* = required field


Account Owner

Joint Owner (if any)
The information that is given above to obtain the American National Bank Debit Card is true and complete. I authorize American National Bank to verify the information contained on this application. When I, or someone I authorize, use my debit card, I agree to the terms and conditions of Reg E that govern the use of the American National Bank debit card. I understand that if my checking account becomes overdrawn due to debit card transactions, an overdraft fee may be charged as stated in the Truth in Savings Disclosure I received at account opening.

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Successful submission of your information takes a few minutes. Please do not hit the “Submit” button more than once.

You agree that by clicking the submit button below, you are providing an electronic signature and you expressly authorize American National Bank to contact you at any phone number or address provided in the application for purposes of fulfilling this inquiry.

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