Download the application here.
The applicant must complete the first two pages of the application. Page 3 is to be left blank by the applicant.
Specific sections of the form that may require careful consideration by the applicant are:
On page 1 of the application form, applicants should choose the industry that is closest to the core business of the card issuer. They should not choose a category that matches the intended use of the card. If the business of the card issuer is not listed, then applicants should state clearly what their core business is. The industry chosen by the card issuer will decide the Major Industry Identifier (MII), the first digit of the IIN. The MII does not in any way restrict or limit how the card can be used.
Brief description of card usage:
Applicants should state the intended use/service that the card will perform (debit card, credit card, ATM card, etc.).
Please note that the applicant must submit a copy of their government-issued verification to prove that they are a legal entity and approved to conduct business in the US. This document should be submitted alongside the application.