Bank Of Marion Internet Banking Enrollment Form

To sign up for Internet Banking, fill in the information below, print and sign this form.

Customer Information:

First Name:

 

Last Name:

 

Address:

 

City:

 

State:

 Zip: Phone:

E-Mail:

 

Social Security Number:

 

Primary Checking Acct. #:

 

Requested Services:

 

 

Internet Banking

 

 

Bill Payment

 
  Access account balances, transfer money, and conduct common banking tasks online   Pay bills on-line. Pay any individual or company. May be subject to a fee.  
To sign up for Internet Banking, print this form, complete it and sign it at the bottom.  Mail it to: 
The Bank of  Marion
Bookkeeping Department
P.O. Box 1067
Marion,  VA  24354

The first time you log in, you will be asked to change your password as instructed online.  You may, or may, not choose the option for Bill Pay."

 

Account Information:

Account Number and Access Type*:

Account Description, as you identify this account:

 

1)

 

2)

 

3)

 

4)

 

5)

 

6)

 

7)

 

8)

 

* Definitions for Access Types:

  • Full Access - You will have the full access available on this account.
  • View & Deposit - You may view account information and transfer funds into this account.
  • View Only - You will be able to view balances and transactions.
  • Deposit Only - You will be able to transfer funds into this account from other accounts with Full Access. You will not be able to view balance or transaction information.

Please Note: You must be an authorized signer on each of these accounts.

 

________________________________________   Signature

________________________________________   Date