Check Order Form - new

Check Order Form

This order form is for Custom HawaiiUSA checks only.
If you would like to order a different style of checks, please contact our Call Center or visit a branch.

Member Information

In order to expedite the processing of your check order or reorder, your account information, including your address, must match the current information we have on file.

Name*

First Name

Last Name

Joint Name (If applicable)

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone Number (Optional)

Member Number*

Share ID*

(S10, S11, etc.)

Printing Instructions

This order form is for Custom HawaiiUSA checks only.
If you would like to order a different style of checks, please contact our Call Center or visit a branch - cost may vary by style.

Cost of checks is $25.24 and includes 80 duplicate checks.

If you are an eLife Checking account holder, you may qualify for a free order of checks if you meet the qualifications.