Check Order Form


Checking/Savings Application












© 2016 First Bank Kansas, All Rights











First Bank Kansas

Check Order Form



Privacy Policy:

Our privacy policy protects the privacy of your personally-identifying information that you provide us online.



Need More Personal Checks?

You can order your checks directly through the Deluxe Personal Check Reorder website by clicking here. Use this convenient check ordering method to save time! For security reasons, Deluxe has restricted this service to orders that do not have any name or address changes. You must also provide the next starting check number for your reorder.

If you have a name or address change, or prefer to order your checks through First Bank Kansas, please complete the form below.


Account Ownership Information
Account Number
Social Security Number
Email
Please enter the address below where you would like the checks shipped.
First Name
Middle Initial
Last Name
Street Address
City
State
Zip
Please enter your personal information below as you wish it to appear on your checks.
First Name
Middle Initial
Last Name
Street Address
City
State
Zip
Please complete the following optional information ONLY if you wish it to appear on your checks.
Second Person First Name
Second Person Middle Initial
Second Person Last Name
Home Phone
Work Phone
What check number should this order of checks begin with?
Would you like single/wallet checks or security checks?
Single/Wallet Checks
Security Checks

By submitting this application, I (each person jointly and severally) agree that this check order form may be processed by First Bank Kansas and that First Bank Kansas may deduct the cost from your checking account.




I/We AGREE with the above statement