Business Online Banking Enrollment Form

To sign up for online banking, fill in the information below and press the Submit button.

By submitting this Enrollment Form, I acknowledge that I have read, and confirm that my company agrees to, the terms of the Business Online Banking Agreement.

You must be an authorized signer on all business accounts you designate. Upon approval and setup a temporary password will be provided to you to begin using the system.

The first time you log in to Business Online Banking, you will be asked to change your password.

Required Field

Business Information

Business Name Tax ID Number Business Phone Number Business Fax Number

Business Type

Sole Proprietor
Corporation
Partnership
LLC
Non-Profit
Other
Business Type

Street Address City State Zip Code Mailing address is different than street address. Mailing Address City State Zip Code

Signer Information

First Name Middle Initial Last Name Suffix Social Security Number Birth Date Driver's License Number State Issued Date of Issue Date of Expiration Business Phone Number Business Fax Number E-mail Address Please do NOT email me important news and updates.

Will Signer be an Online User?

Designated Company Contact (DCC) Information

Is the DCC info different from the signer?

First Name Last Name Driver's License Number State Issued Date of Expiration Business Phone Number Business Fax Number E-mail Address Please do NOT email me important news and updates.

Requested Cash Management Online Services

In addition to the standard services, which include:

Balance Reporting, Account Detail, View and Export History, Transfer Funds, Stop Payments & Current Check Images

Select any additional services that you may require and a bank representative will contact you to complete the required enrollment process:

(Bank approval required from each additional service and fees may apply)

Funds Transfers - Domestic Wires
ACH - Direct Deposit / Payroll
Funds Transfers - International Wires
ACH Credits
ACH Debits
Remote Deposit Capture

Endorsement

I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I authorize First Texoma National Bank to make whatever inquiries about me you deem necessary and appropriate for the purpose of evaluating my credit, including obtaining credit reports and contacting my employer. I also authorize the Bank to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I authorize the Bank to obtain address information from the Department of Motor Vehicles and waive the address confidentiality requirements of the State Vehicle Code. I agree to provide any further information the Bank might require to process my application.

Applicant's Signature Date