Metro Bank Phone: 888.937.0004

Personal Visa Debit Card/ATM Card

All fields highlighted in this color are optional.
Please select card type: Visa Debit Card   ATM-only Card

Reason for Request:

First Name:
Last Name:
Social Security Number/Employee Identification Number: (nnn-nn-nnnn)

Account Information
CHECKING Account 1:
This account will be charged for
all VISA Point of Sale transactions

STATEMENT Savings Account 1:
CHECKING Account 2:
STATEMENT Savings Account 2:
CHECKING Account 3:
STATEMENT Savings Account 3:

For security purposes, please fill in the fields below:
Street Address:
Zip Code:
Date of Birth: (mm/dd/yyyy)

For security and verification purposes, please provide us with your home and work phone numbers. Also, in the event that we would need to contact you please provide us with your email address.
Home Phone Number: (nnn-nnn-nnnn)
Work Phone Number: (nnn-nnn-nnnn)
E-Mail Address: (name@domain.type)

Please provide a 4-digit PIN to use to access your account:

Metro offers two ways you can submit this Application:
  1. E-mail your form by clicking on the Send Your Request button below.
  2. Provide all the requested information, print and mail the Application to:
    • Metro Bank
      Attn: Electronic Banking
      3801 Paxton Street
      Harrisburg, PA 17111
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Metro Bank is a wholly owned subsidiary of Metro Bancorp, Inc. and is not affiliated with Metro Bank plc, Great Britain