NEW ACCOUNT APPLICATION

 
Important Information About Opening A New Account :

(PATRIOT ACT)
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask you for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

Important: This form is provided for your convenience. To complete the application process for your new account, you will need to sign the original account documents at one of our locations. Your two forms of ID must also be presented at that time.
 
What type of account(s) are you interested in opening? (View Account Descriptions)
Free Checking
Regular Checking
Heritage Checking
Heritage Gold Checking
Regular Savings
Money Market Investment
Prime Plus Money Market
Certificate Of Deposit

*For current rate information please contact Customer Service at 580-234-5151
 
Are you currently a customer of Security National Bank?
Yes
No
 
*Required Information

Primary Account Holder Information

*First Name:
Middle Initial:
*Last Name:
*Date of Birth:
*Social Security Number:
*ID Type:
*ID Number:
*State Issued:
*Second Form of ID: ex. Social Security Card, Credit Card, etc.
*Mother's Maiden Name:
*Home Phone:
*Cell Phone:
*Business Phone:
*Email Address:
*Street Address:
*City:
*State:
*Zip Code:
Employer:
 
Mailing address if different from above:
Street Address:
City:
State:
Zip Code:
 
Would you like a Visa Debit Card for your account?
Yes
No
If yes, choose your design

American Flag Debit Card

Oklahoma Project Women
Check here if there is a joint applicant
 
If Payable on Death, Name and Address of Beneficiary
Name (First, Middle, Last):
Address:
City:
State:
Zip Code:
Social Security Number:
Relationship:
Check here to add an additional beneficiary
 
Opening Deposit
*Deposit Amount:
*Deposit Type:
 
What other services are you interested in?
Overdraft Protection
Online Banking
E-statements
Safe Deposit Box
Bill Pay
Direct Deposit
 
A Customer Service Representative will contact you within 3 business days to set up an appointment for your paperwork to be signed.
Preferred contact method:
 
At which location would you prefer to sign your documents? (View Hours and Locations)
Main Bank
Service Center
West Branch