Landmark Bank

E-Statement Enrollment Form
To sign up for E-Statements you must be an owner of the Landmark Bank account(s) you have chosen for E-Statement delivery.
You must complete the information below and click the "I Accept" button.

Computer Requirements:

  • A computer with 28.8 kb Modem, or alternate Internet access point (DSL, cable)

  • Adobe Acrobat Reader 5.0 or higher

  • Internet browsing software: MS Internet Explorer 5.5 or higher with 128-bit encryption is recommended. Netscape 6.0 or higher can also be used

First Name: *

Last Name: *

Business Name:
If applying for a business account.
Address:*
City:*
State:*
ZIP* - Plus 4: -
Phone Number: * - -

Email: * 


Please contact the bank if your e-mail address changes.

SSN/Tax ID:*
(of Account owner)
 

Activate the following accounts for E-statements:*
Primary Account Number:*
 
Additional Account
 
Additional Account
 
Additional Account
 
Additional Account
 
Additional Account
 
Additional Account
 
Choose your User Name:**
Verification Information*
Verification Information Answer*
** Must be a minimum of 6 alphabetic or numeric characters, but no more than 20.
Terms of Agreement

Upon completion of this form the selected account(s) will be enrolled in Landmark Bank's eStatement program. In order to complete the enrollment you will receive and be required to read and agree to Landmark Bank's eStatement disclosure. This disclosure will be emailed to you at the email address you have provided.

*Required Information