Enrollment       Help me enroll...
Please complete the following and click Continue to enroll.

View the Terms and Conditions

Personal Information    
First Name:   Is this information kept private?
Middle Name:  (Optional)   How secure is the information I give to you?
Last Name:    
Suffix:  (Optional)    
Work Phone Number: (xxx-xxx-xxxx) (Optional)   What if I don't have a work phone?
Home Phone Number: (xxx-xxx-xxxx) (Cannot be a cellular phone)   What if I don't have a home phone?
Have you had your home phone number for more than 4 months?  Yes
 No		    
Is your home phone number published?  Yes
 No		    
E-mail Address:   Do you give my e-mail address to any other company?
Confirm E-mail Address:    
Current Address    
Address 1:  (Cannot be a PO Box)    
Address 2:  (Optional)    
City:    
State:    
ZIP Code:    
How long have you lived at your current address?  Two years or more
 Less than two years (Complete the Previous Address information below.)		    
   
Previous Address 1:
Previous Address 2:  (Optional)
Previous City:
Previous State:
Previous ZIP Code:
  Why do you need my previous address?
       
Security Information   Do you keep this information private?
Birth Date: (mm/dd/yyyy)
Social Security Number: (xxx-xx-xxxx)   Why do you want my birth date and SSN?
Driver's License Information    
Do you have a valid driver's license?  No
 Yes  (If yes, complete the following driver's license information.)		   Why do you want my driver's license information?
Driver's License Number:    
Driver's License State:    
Address on Driver's License:  Same as My Current Address
 Same as My Previous Address
 Different Address  (Complete the following address information.)		   What if the address on my driver's license is not my current address or my previous address?
   
Address 1:
Address 2:  (Optional)
City:
State:
ZIP Code:
       
   
Payment Account Information
Payment account information is required to use Payment Center. The account that you set up here is considered your primary payment account. However, after you enroll you can set up other payment accounts and select a different account as your primary account.

Note: Until your payment account is confirmed, your payment limits are restricted. After you complete the enrollment process, we will send you an e-mail telling you how to confirm your payment account. The account confirmation process helps to protect you against the unauthorized use of your account. After your account is confirmed your payment limits are re-evaluated and usually raised.

Use this picture to help find your routing transit number and your payment account number.

Sample Check with Routing, Account and Check Number
Account Type:  
Routing Transit Number:  894565721  
Account Number:  
Account Name: (Optional description of account like
"My Checking", "Fidelity MM", etc.)
Confirm Routing Transit Number:  894565721  
Confirm Account Number:  
 
What kind of payment account can I use for Payment Center?
How can I find my routing transit number if it is not in the same place as the routing transit number in the picture?
What is my routing transit number and why do you need it?
Can I use more than one payment account?
What should I type for Account Description?
Where is my Account Description used?