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Visa Credit Card Application

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MidSouth Visa Credit Card Application

Applicant
I am a:
MidSouth branch nearest to you:










 






















Self-Employed?





 
 
Co-Applicant










 






















Self-Employed?





 
 

† You need not furnish alimony, child support, or maintenance income if you do not want us to consider it in evaluating your application.

 

Credit Information










   
Save Interest on High Interest Cards
Account Transfer
   
Upon approval, I wish to transfer my present balance on the credit card account(s) listed at right to my new credit card account
$
$
 
This statement is submitted to obtain credit and I/we certify that all information herein is true and complete. I/We agree that inquiries may be made to verify information given and that credit references or verification may be given based on inquiries from other parties. This offer is subject to the credit policies of this institution. I/We agree to be bound by the terms and conditions of the cardholder agreement, a copy of which will be mailed to the applicant if this application is granted, receipt of such agreement and acceptance of such terms to be conclusively presumed by the applicant’s use. If this is a joint application, the undersigned shall be jointly, severally and solidarily liable for any and all credit extended from time to time. I/We acknowledge receipt of initial credit card disclosures. As required by federal regulation.
 
Choose Your Rewards:
If a choice is not designated above, you will receive ScoreCard Points Card.
 
One Card/First Applicant Only Two Cards/ Both Applicants
By submitting this form, you are granting MidSouth Bank permission to verify your credit and employment history. All applications will be verified through Equifax. Approved applications will receive a phone call to schedule document and final agreement signing. For full disclosure of MidSouth's ScoreCard Rewards terms and conditions Click Here.