ChexCard 4 U
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Order Your Prepaid ChexCard Mastercard For Only $69.95
Make Money Order Or Cashier's Check Payable To:
                         HIGGS-FREEMAN
This $69.95 Charge Includes Card Processing, Production and Shipping Fees.
 
*PLEASE PRINT THE ORDER FORM.  
**FILL IN THE REQUIRED INFORMATION.
***MAIL WITH YOUR FULL PAYMENT TO:
 
HIGGS-FREEMAN
C/O: ChexCard 4 U
P.O. Box 76090
Los Angeles
CA  90076
 
PRINT ORDER FORM NOW
 
First Name: .................................................................................................
 
Last Name: .................................................................................................
 
Street Address: ...........................................................................................
 
City: .............................................................................................................
 
State: ...........................................................................................................
 
Zip/Postal Code: .........................................................................................
 
Country: ......................................................................................................
 
Home Phone: ..............................................................................................
 
E-Mail: ........................................................................................................
 
Mother's Maiden Name: ...........................................................................
 
Card Holder's Signature: X........................................................................
 
Additional cards may be issued at $25 each. Please provide same information for all additional card holders.
Upon receipt of your application/order form and payment, your ChexCard Mastercard will be issued promptly, directly from the Bank, with complete instructions on how to activate and use your card. You will select a PIN #
to perform your transactions.
Cards will be issued within 10-14 business days.
 
 
 

ChexCard4U@hotmail.com

We Are Available Monday Thru Friday, 9am - 5pm
You May Call Us During These Hours @ 323-815-9061
And Send Faxes During These Hours @ 323-815-1066
 




























HIGGS-FREEMAN, C/O: ChexCard 4 U, P.O. Box 76090,
Los Angeles, CA 90076