Click to Print

Debit Card Application

View More Info Before Applying

Please note the following:

  • You must currently have a checking account with Clear Lake Bank & Trust Company to apply for a debit card.
  • Debit card issuance is subject to approval by a bank officer.
  • This online application for a debit card is for customers age 18 and older. If you are under 18, you must have a parent or guardian co-sign a paper application, available by contacting us.

If you have a debit card PROMOTION CODE, please enter it below.

Please select the type of debit card you would like to order:
Our standard debit card is $15 per year per card, but is free with a BreakFree or World Class checking account. Upgrade to one of our photo cards below for a nominal fee.

Our Photo ID debit card is great as a secondary form of ID and helps in ensuring your card is used only by you. The card is only $20 per year, or $5 per year with a BreakFree or World Class checking account.

With a "My Pic" debit card from CLB&T, you choose a digital picture of your own as the design for your card. The card is only $20 per year, or $5 per year with a BreakFree or World Class checking account.

Applicant Information:

(mm/dd/yyyy)
 

(###-###-####)

(###-###-####)
Co-Applicant Information:

(mm/dd/yyyy)
   
Primary Account Number for Purchases:
Additional Accounts for Access at ATM:
Cardholder Acknowledgement:

By completing this application, I/we agree to be bound by the terms and conditions of the debit card, and the electronic funds transfer disclosure, copies of which were provided at account opening. I/we agree not to use the debit card for illegal transactions (illegal gambling or otherwise). I/we understand that display of a payment card log by, for example, an online merchant, does not necessarily mean that transactions are lawful in all jurisdictions in which I/we as a cardholder may be located. I understand that receipt of such terms will be conclusively presumed by use of the card. If this is a joint application, the applicants shall be jointly and severally liable for any and all debit card transactions. I/we understand that issuance of a debit card requires approval by a bank officer.

To continue, confirm your agreement to the above statement by typing "I Agree" in the box below and click SUBMIT. We will process your request and mail you any necessary information.

Retype the code from the picture
CAPTCHA Code Image
Speak the code Change the code
 

USA Patriot Act:

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING OR CHANGING AN ACCOUNT WITH CLEAR LAKE BANK & TRUST.

Section 326 of the USA PATRIOT ACT requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account or changes an existing account. This federal requirement applies to all new customers and current customers. This information is used to assist the United States government in the fight against the funding of terrorism and money laundering activities.

What this means to you: when you open an account or change an existing account, we will ask each person for their name, physical address, mailing address, date of birth, and other information that will allow us to identify them. We will ask to see each personís driverís license and other identifying documents and copy or record information from each of them.