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Middle Name (required)
Last Name (required)
Address (required)
City (required)
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Zip (required)
WesTex Account # (required)
Email Address (required)
Phone Number (required)
Check To Agree To Terms
This Agreement contains the terms and conditions for the use of Mobile Check Deposit (“MCD”) services. Your acceptance of these terms and/or use of the services constitutes your acceptance of this Agreement. Please review the FULL Terms and Conditions HERE
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