Debit Card Promotion

UBT Logo Master NoYBH Color

Please complete the following information to be entered to win the $500 debit card engagement contest.

Do you have a valid personal Tax ID number? *

You must have a valid personal Tax ID number to enter the contest.

Name:

First Name

Last Name

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number: *

Phone Number

Email Address: *

Email

Please note – you must have a valid Personal Tax ID number and be a resident of NE or KS to win. For complete, official rules, click here.