customer pulling Monticello Bank Debit Card from their wallet

Debit Card Application

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* Required Fields
Card Information - Cardholders must be authorized on account signature card.
Type of Card *
Choose Card Background:
School Spirit backgrounds NOT available for Business or HSA Cards.
Tree debit card
Grass debit card
Sunset debit card
wood debit card
Pixels debit card
Waves debit card
Squares debit card
dots debit card
Patriotic debit card
Wayne County Cardinals debit card
Clinton County Bulldogs debit card
Pulaski County Maroons debit card
Somerset Briar Jumpers debit card
Southwestern Warriors debit card
Science Hill Yellow Jacket debit card
Somserset Christian Cougars debit card
Bowling Green high debit card
Bowling Green city debit card
Warren Central Dragons debit card
Warren East Raiders debit card
South Warren Spartans debit card
Greenwood High Gators debit card
Glasgow Scotties debit card
Gladgow Independent debit card
Barren County Trojans debit card
Barren County Trojans debit card
Casey County Rebels debit card
Russell County Lakers debit card
Harlan Dragons debit card
Harlan Bears debit card
Danville Admirals debit card
Shopville Tigers debit card
KSD Colonels debit card
Immanuel Christian debit card
Monticello Bank logo, Gospel Christian Academy Logo, shield with cross in the middle; Matthew 19:26
Name to Print on Primary Card
Name to Print on Additional Card
Account to Access with Card *
Overdraft Authorization
NOT available for Business accounts.

Please read (and print for your records) the What You Need to Know About Overdrafts and Overdraft Fees Disclosure (PDF),  then accept or decline overdraft authorization below:

If you authorize us to pay your overdrafts, you may revoke this consent at any time. To revoke this consent, call Monticello Banking Company at (606) 348-8411, or toll free at (800) 909-3420. You may also submit your request in writing to any of our branches, or by mail to P.O. Box 421, Monticello, KY 42633. We pay overdrafts at our discretion, which means we do not guarantee that we will always authorize and pay any type of transaction. If we do not authorize and pay an overdraft, your transaction will be declined.

A fee of $35.00 will be assessed for paying transactions that result in an overdraft. If you do not authorize us to pay your overdraft, your transactions will be declined.

Please verify all information is correct and click the Submit button to submit your application for processing.

Thank you!

We will be in touch with you soon.