| There are two
options at this time. The first is to come into one of our branches.
Second, print, complete and mail this form to us and a customer service
representative will help you open an account.
Accounts of
Interest:
Checking
__ Regular Checking
__ Now Account
__
Super NOW Account |
Savings
__ Passbook Savings
__ Money Market
(HI-FI)
|
| Primary
Applicant |
|
|
|
| Name: (First, MI,
Last) |
______________________________________________ |
| Email
Address: |
______________________________________________ |
| Mailing
Address: |
______________________________________________ |
| City, State,
Zip |
______________________________________________ |
| Date of
Birth: |
_____________ |
Social Security
# |
_____________ |
| Driver’s
License# |
_____________ |
Driver’s License
State: |
_____________ |
| Phone
Daytime |
_____________ |
Phone
Evening |
_____________ |
| |
|
|
|
| Co-Applicant |
|
|
|
| Name: (First, MI,
Last) |
______________________________________________ |
| Social Security
#: |
______________________________________________ |
| Relationship to
Applicant: |
______________________________________________ |
| Current Address: (if different from Primary
Applicant) |
| Street |
______________________________________________ |
| City, State,
Zip |
______________________________________________ |
Thank you for your interest in banking
with VALLEY BANK & TRUST.
Please print out this form, complete,
and mail to:
Valley Bank & Trust
PO Box 183
Mapleton, IA
51034
|
