Debit Card Registration Form

Introducing the Kingdom Pay Debit Card – Spend with Power & Purpose!

Unlock a new level of financial freedom with the Kingdom Pay Debit Card – designed for individuals who value security, flexibility, and exclusive rewards.

✅ Instant Access to Your Funds – Spend anywhere Mastercard/Visa is accepted.
✅ Zero Hidden Fees – No monthly maintenance fees or surprise charges.
✅ Earn Rewards on Every Transaction – Get cashback and exclusive discounts.
✅ Seamless Online & In-Store Payments – Shop and pay with ease.
✅ Secure & Protected – Advanced fraud protection keeps your money safe.
✅ ATM Access Worldwide – Withdraw cash anywhere, anytime.

💳 Sign up today and experience financial freedom like never before!

🔗 Apply below to get started and unlock the power of Kingdom Pay!

Application Form

Subscription Form

First Name

Last Name

Phone Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Employment Status

*Social Security Number SSN Tax Identification Number TIN

Company Name

What is your annual income?

$10,000 - $20,000

$20,000 - $30,000

$30,000 - $40,000

$50,000+

Are you applying for yourself?

Yes

Authorized Users

First Name

Last Name

Date of Birth

Relationship ( e.g Sister )

First Name

Last Name

Date of Birth

Relationship ( e.g Sister )

First Name

Last Name

Date of Birth

Relationship ( e.g Sister )

*Are you a U.S. citizen?

Yes

If NO which country are you a resident in?

I have read and agree to the Terms and Conditions and Privacy Policy