National Council of Postal Credit Unions

NCPCUEagle-Image Card Order Form

In order to order Eagle-Image cards, uou will need to:
a. First complete the form below;
b. Second print two copies of the form keeping one copy for your records and another copy for you to sign and send to NCPCU;
c. Third include a clear copy of the front and back of the credit union's current card or a voided sample. Questions about artwork specifications may be directed to bob@ncpcu.org;
d. Fourth use the submit button to send an electronic copy to NCPCU headquarters.

Credit Union Name:
Charter Number:
Address: (No P.O. Boxes)
City:
State: Zip:
Telephone: 
Fax Number:
Contact's First Name:
Last Name:
Contact's Email:
Endpoint Shipping Information:  (The company to do the embossing/encoding)
Company Name:
Contact's First Name:
Last Name:
Street Address:
City:
State: Zip:
Telephone Number:

Card Order Information
Select Card Type: VISA   Gold VISA   MasterCard   ATM   Debit

Number of Cards (min 1000):
Credit Union's Card Processor:
Credit Union's BIN Number:
(first 6 digits)
Inventory Control Number
( Equifax Processing, else n/a):		   

 

Authorized Signature Title Date

Your signature authorizes the above card order and agreement to provide 24-hour turnaround on signed proofs of the card artwork.

Please mail or fax the signed form to:

NCPCU
P.O. Box 160
Del Mar, CA 92014
Or, fax to 858-792-3884

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