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Apply for a Debit Mastercard®

In order to apply for a card for your account, please complete the form below. If your card has been lost or stolen, or if you have any questions about completing the application, please call our service center at 508-384-6101.

Required Field


New Card or Replacement Card*

*To report a lost or stolen card, please call 508-384-6101 from within the US. If you are outside the US please call collect to 973-682-2652.


Accounts to Access

All cards must be picked up in person at our main office. We will contact you when your card is ready. Cards must be picked up within 7 days of notification.


I am applying for a Wrentham Cooperative Bank Debit MasterCard®. I understand that this is not a credit card, and the dollar amount of the purchases made with this card will be deducted from my primary Wrentham Cooperative Bank checking account only. I authorize the bank to verify the information provided above and to request a consumer credit report from any consumer credit reporting agency. The Debit MasterCard® is available for qualified customers only. Other requirements apply. I agree to be bound by the terms and conditions covered in the applicable disclosure statements.

The information on this form is accurate to the best of my knowledge and ability. I hereby authorize Wrentham Cooperative Bank to verify credit and employment history and/or have a credit reporting agency prepare a credit report on the undersigned.