ESIGN Enrollment Authorization Form


Please complete the ESIGN Enrollment Authorization form.

Client Information

*Full Name:
*Email Address:
Business Name:


Step 1 - Print Agreement

You must complete all steps before submitting

View and Print Bank of the James ESIGN Agreement and Disclosure.

Step 2 - Authorization

ESIGN Enrollment Authorization

I authorize Bank of the James to establish an ESIGN service for me. I acknowledge receipt of, and agree to be bound by, the terms and conditions of the Bank of the James ESIGN Agreement and Disclosure, which includes important terms and conditions for the ESIGN service.

Step 3 - Verification

Enter Verification Code from printed agreement here:


Without entering the verification code your form will not be submitted.

For bank use only