Balance Transfer Application

Upon approval of this application, Commerce Bank will issue a check in the amount(s) indicated to pay off the balance of the credit card account(s) you have indicated, to the extent allowed by your available credit limit. The bank will mail the check(s) to the institution(s) indicated.
Applicant General Information First * Name (Required Fields are marked with *) M.I. Last *
Address * Line 2 City * State Zip * -
Home Phone Number: * Business Phone Number: ( ( ) ) - -
(mm/dd/yyyy) Date of Birth * Social Security Number * ### ## #### Mother's Maiden Name *  
Commerce Credit Card Information Commerce Credit Card Account Number: *           Expiration Date (Month/yy): *    
From how many cards do you wish to transfer a balance? *  
If you received a promotional code with a balance transfer offer, please enter the code: