Business Online Banking Enrollment Form

Online Access - Select One
  * denotes required field


  • Single User Access
  • Viewing / transfer Capabilities
  • Multiple User Access
  • ACH/Wire/Tax Payments Access (If Applicable)
Authorized Signer Information
Application must be submitted by an authorized signer on all accounts for the business. We must be able to verify all information submitted. Additional paperwork may be required upon verification and a delay in the approval process may occur depending upon additional paperwork requirements. Please provide your contact information below, including your e-mail address and phone number to receive your one time secure access code.
Business Name:* TIN:*
Business Address:*  
Business City:* Zip Code:*
Business Phone#:*
Authorized Signer's First Name:* Last Name:* Middle Initial:
Authorized Signer's Address:*  
Authorized Signer's City:* Zip Code:*
Social Security #*: Driver's License Number*:
Date of Birth:* (MM/DD/YYYY)
Home/Cell Phone#:* Work/Cell Phone#:
Email Address:*
Amount of Last Deposit or Loan Payment:* Date of Last Deposit or Loan Payment:*
Mother's Maiden Name:*
 
Username
Please enter your desired Username. Each Username must be unique. Your Username must contain a minimum of 6 and a maximum of 20 characters, and can consist of letters, numbers and symbols. If the Username you have requested is not available, we will contact you to confirm an alternate Username.
Username:*
 
Account Access Information
 
Please provide the Account Number and Account Type for each account that you wish to access using Online Banking. All accounts must have the same ownership as the information provided in Authorized Signer Information above.

Account Number* Account Type*


How did you hear about our Online Banking?
Please let us know how you heard about us.
 
Signature & Disclaimer

This document is being secured with SSL encryption provided by your browser. Your information will be encrypted when using this form while in transit between your browser and Sturdy Savings Bank. Upon approval you will be notified via e-mail that your application has been accepted and you will be provided with the instructions necessary to complete the "First Time User" login process. During that process you will be presented with your Internet Banking Agreement and Disclosure Statement (Agreement) which you will need to "Accept". You may print a copy to retain for your records.

This Agreement represents all of the terms and conditions agreed to in conjunction with the use of Internet Banking, and includes any other documents or disclosures executed pursuant to this agreement, state or federal law. I agree that I will not release my Username and password to anyone and that it is my responsibility to maintain the confidentiality of my Username and password to prevent unauthorized use. I certify that I am authorized to sign on the accounts listed above. I understand that I am responsible for all charges incurred through the use of this Online Banking and Online Bill Pay Service. I understand that I may incur a fee from my cell phone provider for Internet usage capabilities on my phone. Such fees will be charged as per the agreement with my cell phone provider and not Sturdy Savings Bank.

               
Signature*: Date*: