Please fill a W-9 Form completely. A W-9 form is required for all participants and Visa® This is a requirement of the financial institution that issues the cards. You may fax your signed W-9 to 623-936-8839 or email the signed W-9 to email@example.com.
Participants receive a Rewards card after their first Rewards submission is received and processed. To submit a Lorts acknowledgement number, registered participants please, go to this page to submit for your Rewards by clicking here.
If you move or your name changes, update your account information by sending an email to firstname.lastname@example.org .
The Visa® Rewards Card is issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. and can be used wherever Visa debit cards are accepted. The Bancorp Bank; Member FDIC. Lorts reserves the right to modify, append, or end the program at any time.
All information submitted is CONFIDENTIAL and will not be sold or shared outside of Lorts Manufacturing.