Ocala Agent | 352-237-8350
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Fast 50

 

 

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:
 

 


 

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UNITED BANK CARD, INC. is a registered ISO/MSP of First National Bank of Omaha, 1620 Dodge St., Omaha, NE  – Member FDIC