Merrick Bank Credit Card Activation
Agreement Request
Complete the form below to have your Agreement mailed to you within 30 days.
PERSONAL INFORMATION
* = Required Field
Date: 4/5/2020
Customer Name: *
Account Number: *
Street Address: *
City: *
State: *
Zip Code: *
Phone Number: () -
Email:
Confirm Email:
Please ensure that the email address you provide is the email address you would like Merrick Bank to use to send correspondence to you. As the email messages from Merrick Bank may include financial information about your account, please consider whether you wish to use an email address where others may have access to your messages. Please note that, by providing this information, you are giving your express consent for Merrick Bank to contact you by use of auto-dialers and other automated means in connection with your account at the phone number and email address provided.