Merchant's Bank

Check Reorder

This form is intended for personal checks only and is NOT intended for business use. You must have a current checking account with us, since your account number is required to re-order checks.

Please complete or select the following information, as appropriate

Please enter the following information about yourself
Account Number
Tax identification Number
Please enter your email address:
Please enter the address that you would like the checks shipped to:
Full Name (first m. last)
2nd Full Name (first m. last)
Address
City, State, Zip-Plus 4: , -
Please enter your personal information below as you wish it to appear on your checks:
Full Name (first m. last)
2nd Full Name (first m. last)
Address
City, State, Zip-Plus 4: , -
Please complete up to three (extras will be ignored) of the following optional information only if you wish it to appear on your checks:
Name 2 (first m. last)
Drivers License Number
Drivers License State
Social Security Number
Home Phone Number () -
Work Phone Number () -
What check number should this order of checks begin with?
I/we agree that this Check Re-Order Form may be processed by Merchants Bank and that the bank may deduct the cost from my/our checking account.
Merchants Bank will contact you with the cost of the order before the order is processed.