GIFT CARD ORDER FORM
Paying for your BankTexas Gift Card:
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A fee of $2.99 is charged for every Gift Card
ordered.
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To purchase a Gift Card online, you must have a
deposit account relationship with BankTexas.
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Cards are ready for pick-up within one business
day. We will call you when your card is ready.
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First Name: |
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Last Name: |
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Address: |
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City: |
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State: |
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Zip: |
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Primary Telephone: |
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E-mail Address: |
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Dollar Amount of Gift Card: |
$ |
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(If you would like to
purchase more than one Gift Card, please complete the
following fields.
Otherwise, leave them blank.)
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Dollar Amount of Gift Card #2: |
$ |
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Dollar Amount of Gift Card #3: |
$ |
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Dollar Amount of Gift Card #4: |
$ |
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Please choose the office where you will pick up your
Gift Card:
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Quitman |
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Holly Lake Ranch |
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Mineola (Inside Wal-Mart) |
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Mineola (Pacific Street) |
“I hereby authorize BankTexas to debit the dollar amount
of the Gift Card(s) I am requesting
from the account I
provided. I further agree to pay a fee of $2.99 per
Gift Card requested.”
