Check Order Form

Personal Checks | Business Checks

For first-time check orders or to change check style, please stop by our bank and visit our Personal Bankers. If you have ordered checks from our bank before, please fill out the following information to receive an order.

  • Your checking account will be automatically debited for the price of the checks.

  • Your check orders will be processed daily. You should receive your checks within 7-10 days.

Please enter the following information exactly as you would like it to appear on your checks:

Name
Joint Owner Name
Driver's License (optional)
Joint Owner's Driver's License (optional)
Street Address
City
State
ZIP
Phone Number (optional)

Six-Digit Account Number(middle set of numbers at the bottom of your check starting with a 3 or 6)

Check Style
Number of Boxes*
*200 singles or 160 duplicates per box

Do you currently have Harland, Deluxe or Bank of Spring Valley checks?
(Look on your deposit slips.)
At what number would you like your checks to continue?

Are there any other instructions you would like us to know?