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What's your email address?


Your first name

MI

Your last name


Your street address

Apt., Suite, bldg., etc

 

Your city

Your state

Your ZIP


Your home phone number

Your mobile phone number

Your mobile phone carrier


Your Social Security Number

Verify your Social Security Number

When were you born?


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This card is issued by Urban Trust Bank, FSB, pursuant to a license from VISA. Urban Trust Bank is a member of the Federal Deposit Insurance Corporation and all cardholders funds are insured by the FDIC in accordance with the FDIC applicable terms and conditions.

In compliance with the USA PATRIOT Act* and other laws, anyone who is a US resident over 18 with a valid Social Security number and a verifiable physical US address (no PO boxes or APO addresses) can apply for an opt+ Card. This information must be provided, along with other information pertinent to receiving approval, when applying for a opt+ Card. Currently, we do not issue the opt+ Card to residents of Puerto Rico, Guam, the Virgin Islands, American Samoa, or other US territories.

Obtaining Your Card: The USA PATRIOT Act is a federal law that requires all financial institutions to obtain, verify and record information that identifies each person who opens a Card Account. What this means for you: When you open a Card Account, we will ask for your name, address, date of birth and other information that will allow us to reasonably identify you. We may also ask to see your driver's license or other identifying documents at any time.

*At SRC locations only      **Other fees may apply