WIB
Prepaid Card
Application Form

Completing this application is fast and easy.

Step 1/2

Step 2/2

Select the card that suits your needs

Account Type

Mailing Address

Your PIN will be mailed to your Mailing Address

Branch to pick up your card

If you already have a MoneyCard that is going to expire or has expired recently, enter the Card Number here

If applicable, you must input all 16 digits of your card

Tell us about yourself

Prefix

Last Name

First Name

Middle Name

Date of Birth

Copy of ID

Upload a valid ID (photo or PDF, max 2MB)

Bank Account Number

To reload the Card you must have Online Banking

Address

Home Phone

Cell Phone

Email Address