Access your checking account everywhere the MasterCard logo is displayed!

Debit Card Application

Faster than an ATM withdrawal and easier than writing a check, your Horry County State Bank Debit Card provides you convenient access to the funds in your checking account. You can withdraw money from your account at any ATM machine or pay directly from your account as debit or credit purchase anywhere the MasterCard logo is displayed. Best of all, there are never any interest charges, late fees or loan balances to worry about when you use your debit card since the funds come directly out of your checking account.

To apply for your Debit Card, you must have an Horry County State Bank checking account in good standing and abide by the terms and conditions of our electronic funds transfer agreement.

Complete the application below and bring to your local Horry County State Bank branch or click submit and your local branch will contact you to verify your information and request.

Primary Account Holder Information Name: Address: City: State: Zip:

Social Security Number: Date of Birth: Home Phone Number: Other Daytime Phone Number: Email Address:

Checking account number(s) to be
accessible through this card 1^st Account 2^nd Account 3^rd Account

4^th Account 5^th Account 6^th Account

Is this a Joint Account? Yes, this is a Joint account and he/she also needs a card.

Joint Account Holder Information Name: Address: City:

State: Zip: Email:

By clicking on [SUBMIT] or signing below, I/We request an Horry County State Bank MasterMoney Debit Card and agree to the terms and conditions governing this service, including any fees and charges. I/We agree that all the information on this application is accurate and authorize Horry County State Bank to verify credit and employment history by any means necessary, including preparation of a consumer report by a consumer reporting agency.

I/We Have read and agree to the terms of the Electronic Funds Transfer agreement.

To process your application and have your local branch call you to verify your information, click [SUBMIT] now.

Or if you prefer to bring this application to your local branch,