* Required Fields
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NOTE: ANY PERSON WHO OWNS 20% OR MORE OF THIS BUSINESS NEEDS INCLUDED IN THIS SECTION AS A BORROWER/GUARANTOR.
NOTE: IF YOU DO NOT HAVE THE INFORMATION REQUESTED BELOW BUT WOULD LIKE TO BE CONTACTED BY A LENDER, ENTER "0" INTO THE FIELDS BELOW.
NOTE: TO APPLY FOR A VISA CREDIT CARD, YOU MUST BE A CURRENT CUSTOMER WITH CITIZENS NATIONAL BANK.
NOTE: IF VISA® BUSINESS CREDIT CARD AGREEMENT SIGNERS DIFFER FROM THE OWNERS LISTED ABOVE, FILL IN THE FIELDS BELOW AS APPLICABLE FOR ALL INTENDED SIGNERS.
Type your name in the box below to represent your electronic signature.
Need help with the application or have questions? Give us a call at 1(800) 262-4663.