NOTICE!

This is an inquiry form designed to capture some basic, initial information to assist us in answering your questions. Please fill out the form below and one of our representatives will contact you with more information.

Personal Information

• Full Name
  OK Full Name is required
• Phone Number
  OK Phone Number is required
• E-Mail Address
  Optional OK E-Mail Address is required
• State of Residence AK - AlaskaAL - AlabamaAR - ArkansasAZ - ArizonaCA - CaliforniaCO - ColoradoCT - ConnecticutDC - District of ColumbiaDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiIA - IowaID - IdahoIL - IllinoisIN - IndianaKS - KansasKY - KentuckyLA - LouisianaMA - MassachusettsMD - MarylandME - MaineMI - MichiganMN - MinnesotaMO - MissouriMS - MississippiMT - MontanaNC - North CarolinaND - North DakotaNE - NebraskaNH - New HampshireNJ - New JerseyNM - New MexicoNV - NevadaNY - New YorkOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVA - VirginiaVT - VermontWA - WashingtonWI - WisconsinWV - West VirginiaWY - Wyoming
  OK The residence MUST be located in OHIO
• County of Residence
  OK County of Residence is required

• Who do you have an account with?

  • Sutton Bank
  • Cash App (Square)
  • Robin Hood
  • Other Gift Card
  • I don't have an account
  OK Who do you have an account with? is required
• Questions
  OK Questions is required