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
)
SNB Checking
Heritage Checking
Heritage Gold Checking
Regular Savings
SNB Super Saver Children’s Club Account
Money Market Investment
Prime Plus Money Market
Certificate Of Deposit
Select a CD Term
91 Days
182 Days
9 Months
12 Months
13 Months
18 Months
23 Months
24 Months
30 Months
48 Months
Days
*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:
Select
Driver's License
State ID
Military ID
Passport
*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
Folds of Honor
Check here if there is a joint applicant
Joint Account Holder Information
*First Name:
Middle Initial:
*Last Name:
*Date of Birth:
*Social Security Number:
*ID Type:
Select
Driver's License
State ID
Military ID
Passport
*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?
*Visa Debit Cards must be picked up at our Main Bank location
Yes
No
If yes, choose your design
American Flag Debit Card
Oklahoma Project Women
*A portion of the proceeds from the EHS Debit Cards go toward technology upgrades for Enid High School
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
Name (First, Middle, Last):
Address:
City:
State:
Zip Code:
Social Security Number:
Relationship:
Check here to add an additional beneficiary
Name (First, Middle, Last):
Address:
City:
State:
Zip Code:
Social Security Number:
Relationship:
Check here to add an additional beneficiary
Name (First, Middle, Last):
Address:
City:
State:
Zip Code:
Social Security Number:
Relationship:
Opening Deposit
*Deposit Amount:
*Deposit Type:
Select
Check
Cash
Wire Transfer
ACH
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:
Select
Email
Home Phone
Cell Phone
Work Phone
At which location would you prefer to sign your documents?
(View
Hours and Locations
)
Main Bank
Service Center
West Branch