Global Cash Card PAYCARD ENROLLMENT FORMOffice Where you put in your Application for Employment:*Please Select:Clerical & ProfessionalFort Smith IndustrialVan BurenFayettevilleSpringdaleRogersClarksvilleRussellvilleConwaySearcyDeposits Are Expected To Be In Your Account By Friday at 5pm. Every attempt is made to get your pay deposited into your account as soon as possible, however there may be times when this is not possible due to: holidays, bank issues, payroll issues etc. But you can expect your deposit by Friday at 5pm. (Office Use Only) Wisely Pay Acct # ______________________________ Email Name* First Middle Initial Last Address* Street Address Apartment, P.O Box, or Suite Number 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 Please select one or more of the types of deposits you prefer:* Select All Payroll Draws Emergency (ink only) Social Security Number: _______________________________________ Date of Birth: ___________________________ Signature: __________________________________________________ Date:__________________________ Primary Phone:*
