FSNB Debit Card Request
Please read before filling out this Debit Card request
Must be an account holder (cannot be a minor) to apply for the Debit Card.
Power of Attorneys are not honored for the account holder.
Social Security Number
Date of Birth
Choose an Account Type
What happened to your card?
Date your card was Lost, Stolen, Damaged or Compromised
Are there any unauthorized transactions on your card?
Card replacement fee will be $10 for the basic card design
Select a custom image card from the Card Gallery for an additional fee of $9.50
Standard-no additional fee
Would you like any reoccurring merchants to have accss to the new card information?
Do you want your new card sent using Expedited Mail for an additional $35 fee?
If applicable, do you desire to have Saturday delivery for an additional $15 fee?
Your account will only be charged the total of $50 if Saturday delivery is applicable to the date of your request.
Requests received prior to 12:00 p.m. CST will be processed the same business day, all other requests will be processed on the following day.
Please print, sign and return to:
P.O. Box 33009, Fort Sill, OK. 73503-3009
For Bank Use Only:
Fields marked with an * (asterisk) are required.