XA Mobile

Description

Details

Select feature(s)

Additional feature(s)

Add Account Remove Account Save Account OK

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Choose your rate

Specify the amount to deposit

Choose your term

Placeholder text

Maturity Date

Application Cancelled

We have cancelled your application.

If this was a mistake and you would like to fix errors you can return to the application now.

Return to Application

Funding

How much do you want to deposit?

Total Deposit

How do you want to fund your new account?

Not Funding At This Time

Credit Card (max $250.00)

Transfer From Another Financial Institution (max $250.00)

Mail A Check

You hereby represent and warrant to Blaze, its directors, officers, employees and agents that you own the account the funds will be debited from (funding account) and have full right and authority to all the funds on deposit therein. In addition, you authorize Blaze to execute and charge your designated funding account, including any related fee, subject to any applicable limit as to dollar amount in accordance with the procedures established by Blaze. Blaze will not be responsible for any fee(s) assessed by the institution who holds the funding account. Blaze may reject your request if Blaze identifies a security risk related to a requested transfer. Time delays to complete certain types of transfers, when External Transfer requests are made, may delay or restrict access to the funds.

All required account documentation and a signed Membership Application must be received before it will be reviewed by a Blaze Representative and approved. Once your application is approved it may take up to 3 business days to access the funds. For more information please review Blaze's Personal Terms and Conditions.

By continuing, you authorize Blaze to make a onetime debit to fund the account(s) with the method selected.

Continue Or Go Back

*Required Field(s)

Done

There was a problem with your request

Let Me Fix Continue

Done

Insufficient Balance

This account does not have sufficient balance to cover the total required deposit.

Please select another account.

Success

Your Google Pay transaction is Successful Ok

Instant Account Verification

We offer a way to instantly verify your account information using . We only use this partner service to retrieve information required to transfer funds from your specified financial institution and to verify that your current balance is sufficient for this transaction.

Continue

Verify account manually instead

By clicking the "Continue" button above, you are agreeing to the terms of our user agreement.

'Doing Business As' Information

DBA Business Information

Company Name

Business Tax ID Type

TIN

SSN

Business Tax ID

Show TIN

Your Business Tax ID is used for identification purposes.

Your Social Security Number (SSN) is used for identification purposes and to determine your account opening eligibility.

Industry

Phone

(xxx) xxx-xxxx

DBA Physical Address

Country

Address

Zip

City

State

Occupancy Status

Occupancy Duration

Use different address for mailing

Mailing Address

Country

Address

Zip

City

State

Continue Or Go Back

Tell Us About Yourself

Suffix (Jr., Sr., etc.)

Date of Birth

Citizenship Status

Current Physical Address

Country

Address

Zip

City

State

Occupancy Status

Occupancy Duration

Use different address for mailing

Mailing Address

Country

Address

Zip

City

State

Contact Information

Identification

ID Type

ID Number

ID State

ID Country

ID Date Issued

ID Expiration Date

About Your Employment

Employment Status

As the custodian for under the Virginia Uniform Transfers to Minor Act, I make this application on the minors

eSignature

Date:

Upload Documents

Upload a photo of the front and back of your Driver's License or other Identification document (Required)

Click or tap here to capture or upload an image or document.

Additional Information

Are you subject to backup withholding? You may be subject to backup withholding if you have been notified that you failed to provide a correct taxpayer identification number (TIN) when required or if you fail to report interest, dividend, or patronage dividend income.*

Within the last twelve (12) months, have you had a checking or draft account subject to withdrawal by negotiable instrument?*

Yes if so, where?*

Within the last twelve (12) months, has any financial institution involuntarily closed your checking account?*

Yes if so, why*

Within the last twenty-four (24) months, have you been convicted of a criminal offense involving the use of a check or similar instrument?*

Do you have another applicant?

Yes

Continue Or Go Back

Speed up your application process by taking the BACK image of your US driver's license.

If you do not wish to use this feature, simply close this popup window and proceed.

Recommendation for best recognition:

* Use a dark background

* Make sure all four corners are visible

* Avoid glare

* Make sure image is in focus

Done

Speed up your application process by taking the BACK image of your US driver's license.

If you do not wish to use this feature, simply close this popup window and proceed.

Recommendation for best recognition:

* Use a dark background

* Make sure all four corners are visible

* Avoid glare

* Make sure image is in focus

Done

System can't prefill due to ZIP code discrepancy. Please proceed by manually entering the information or correct the value in the ZIP field in the 1st page.

Tell Us About Yourself

Minor Information

Suffix (Jr., Sr., etc.)

Gender

Date of Birth

Mother's Maiden Name

Citizenship Status

Contact Information

Current Physical Address

Country

Address

Zip

City

State

Use different address for mailing

Mailing Address

Country

Address

Zip

City

State

Identification

ID Type

ID Number

ID State

ID Country

ID Date Issued

ID Expiration Date

Additional Information

Within the last twelve (12) months, have you had a checking or draft account subject to withdrawal by negotiable instrument?*

Yes if so, where?*

Within the last twelve (12) months, has any financial institution involuntarily closed your checking account?*

Yes if so, why*

Within the last twenty-four (24) months, have you been convicted of a criminal offense involving the use of a check or similar instrument?*

Continue Or Go Back

About Your Joint Applicant

Suffix (Jr., Sr., etc.)

Date of Birth

Citizenship Status

Current Physical Address

Country

Address

Zip

City

State

Occupancy Status

Occupancy Duration

Housing Payment

Use different address for mailing

Mailing Address

Country

Address

Zip

City

State

Contact Information

Identification

ID Type

ID Number

ID State

ID Country

ID Date Issued

ID Expiration Date

About Your Employment

Employment Status

Gross Monthly Income (before taxes)

Welcome to Electrus a Division of Blaze's Membership Application! It is fast and easy!

Fund via Internal Transfer

Fund via Credit Card

Alert Popup

Transfer from another financial institution

Upload a photo of the front and back of your Driver's License or other Identification document (Required)

Co-Driver's License Scan

Driver's License Scan

New Membership

Welcome to Electrus a Division of Blaze's Membership Application! It is fast and easy!

Application Cancelled

Funding

Fund via Internal Transfer

Fund via Credit Card

Alert Popup

Transfer from another financial institution

'Doing Business As' Information

Tell Us About Yourself

Upload a photo of the front and back of your Driver's License or other Identification document (Required)

Co-Driver's License Scan

Driver's License Scan

Minor Applicant Information

Joint Applicant Information