Agility Cash Visa Credit Card

Upgrade your card today and earn cash back on every card purchase.

Cardholder Information

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First Name *

Last Name *

Date of Birth *

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Email *

Address *

City *

Zip Code *

Last 4 Digits of SSN *

Digits Remaining:

Last 4 of Card Number *

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Cards for Authorized Users

Add or remove authorized users to be issued a credit card.

Remove User

I would like ALL Authorized Users on the current account removed on the new account. Otherwise, Amegy Bank will assume all Current Account Authorized Users are to be New Account Authorized Users and will issue them a credit card.

Remove All Previous Authorized Users

Add User

Add Authorized User

The Authorized User indicated below will be issued a credit card in the name specified. These Users have access to the entire credit limit and will not be responsible for payment of the credit card balance.

Name on Card *

Name as you would like it to appear on card

The Authorized Users (if selected) indicated above will be issued a credit card in the name specified. These Users will have access to the entire credit limit and will not be responsible for payment of the credit card balance. OBLIGATED PARTY (Primary Borrower): I fully understand and agree that all Authorized Users of my Visa Credit Card are my responsibility and that the Authorized Users are not obligated to the repayment of the credit card balance. If the credit card is misused by an Authorized User, I accept full responsibility. Also, if the card(s) are lost or stolen, I will immediately notify Bankcard Services at 888-500-2960.

I authorize *

Disclosures

Below are the regulatory disclosures required for submission. Please read through these for important rate, fee, privacy, and other cost information before submitting your application.

Please read the Consent for Electronic Delivery of Disclosures, then check the box indicating that you have read and acknowledged it.

I acknowledge. Review rate, fee, and privacy disclosures *

Please read the Privacy Policy, then check the box indicating that you have read and acknowledged it.

I acknowledge *

Please read the Interest Rates and Fees Disclosure, then check the box indicating that you have read and acknowledged it.

I acknowledge *

BY CHECKING THIS BOX, I HEREBY: (1) authorize Amegy Bank to close the Current Account and open the New Account selected on the first page of this application: (2) authorize Amegy Bank to transfer any balance(s) outstanding on the Current Account to the New Account: (3) agree to be bound by the New Account Credit Card Agreement that Amegy Bank will provide to me if this Application is approved: (4) certify that all information I have provided on, or in connection with, this Application is true, correct, and complete: (5) authorize my current and past creditors, employers and consumer reporting agencies and any other reference listed above to release information to Amegy Bank regarding my eligibility for the New Account I have selected above: (6) authorize Amegy Bank to exchange information about how I handle my account(s) with Amegy Bank to credit reporting agencies if this Application is approved: (7) agree that if any wireless telephone number is provided in Step 3, I consent to receiving autodialed and prerecorded message calls and text messages from Amegy Bank or its third party debt collector at any such number and represent to Amegy Bank that I have the authority to provide this consent for any wireless number provided: (8) understand Amegy Bank will obtain periodic follow on credit reports on me from credit reporting agencies: (9) certify that I have received, read, and understand the disclosures set forth in this Application: (10) agree to immediately notify Amegy Bank Bankcard Services at 888-500-2960 (toll free) if a New Account credit card is lost or stolen: and (11) acknowledge that this Application is subject to approval by Amegy Bank.

I authorize *

Agility Cash Visa Credit Card

Upgrade your card today and earn cash back on every card purchase.

Agility Cash Card Acceptance Form

Cardholder Information

Cards for Authorized Users

Remove User

Add User

Disclosures

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