Home > Pre-Application

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: