Personal Check Order Form Member Name(Required)As you’d like it to be seen on your checks. First Middle Last Member Number:(Required)Checking Account Number:(Required)Joint Account Owner Name:As you’d like it to be seen on your checks. First Middle Last Address(Required)As you’d like it to be seen on your checks. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Would you like your phone number displayed on your checks?(Required) Yes No Phone Number:Check Start #:(Required)Must be above 101Check Type:(Required)SingleDuplicateQuantity:(Required)60120180240Check Style:(Required) Default Standard Other Please include the name of the check design from the style catalogue. View style catalogue Additional fees apply to non-standard check styles. If you would like a price quote, please reach out to our member service team via email, chat, or phone.Billing/Shipping Details: The cost for 60 standard checks varies and is typically around $28, additional shipping fees and state taxes may apply depending on your location. Check orders will be billed to your Clean Energy CU checking account, funds will be deducted from your account within 14 days of ordering. Sufficient funds must be available for check orders to be processed. All checks must be shipped to the address we have on file for your account. Once the check order is placed you will receive a tracking email to the email that we have on file. CAPTCHA Δ
