Genie Checking Activation Form - P2P or Check22 Payments

Personal Information -  Please complete the form below

Referral Genie No.:  (213) 825-0503   ErgoBack
First Name:  (Required)
Middle Name: 
Last Name:  (Required)
Street Address:  (Required)
Apt# / Suite#: 
City:  (Required)
State:  (Required)
Country I reside in:  (Required)
ZIP Code:  (Required)
Cell Phone No.:  (Required)
Cellular Provider:  (Required)

Your Genie Checking Account's "One Time Activation Code" will be sent as a text message to the cell phone number you provided. Please verify that the cell number you provided is correct. Otherwise, you will not be able to activate your Genie Checking Account.

Work Phone No.: 
Home Phone No.: 
Email Address:  (Required)
Confirm Email Address:  (Required)

Your Genie Checking temporary passcode will be emailed to this address, please verify that you provided the correct email address, otherwise, you will not be able to access your Genie Checking account.

Checking Account Information to enable your Check22 Payments

Bank Name: (Required)
First Name on Checking Account: (Required)
Last Name on Checking Account: (Required)
Bank ABA Routing Number: (Required) What is it?
Checking Account Number: (Required)

Please review our Terms and Conditions below

I have read and agree to all the terms and conditions above

Please review all the information above before pressing the Continue button!