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:: INTERNET BANKING ENROLLMENT FORM

Existing account holders please fill out the form below. The information you enter on this page is protected by our privacy notice and encrypted using SSL technology.

Two easy steps to enroll in our online banking service!
  1. Enter and confirm information. Agree to the terms and conditions.
  2. What happens next? Your application will be accepted or declined within 5 - 7 business days. We will verify your request and when we have implemented the service your User ID and Security PIN will be delivered to you.
ONLINE APPLICATION
First Name: MI: 
Last Name: Suffix: 
Address:
 
City: State: Zip Code:
Company:
Company Contact:
Home Phone: Work Phone:
SSN (or Tax ID): Date of Birth: (mm/dd/yy)
E-mail:

Please enter a security question and answer that you will remember:
Security Question:
Answer:
  Example (Where was I born?) (What color is my car?)

Select your service:
Online Banking is free with your Florida Bank of Sarasota personal checking account. Bill Payment is an optional service and is free up to 30 payments. Additional payments in excess of 30 are $.40 each.
I would like Online Banking with Bill Payment
I would like Online Banking only
I would like additional information about Cash Management Services

Checking Account Information:
Primary Checking Account Number:  
Bill payments are made from your primary checking account and Online Banking fees, if any, are deducted from your primary checking account.

Account Exclusion:
There may be Florida Bank of Sarasota accounts that you do NOT want access to via Online Banking. Please indicate these accounts below.
Account Type:
None Checking Savings Loan Time Deposit (CD)

Funds Transfer Account Exclusion:
Most accounts are automatically enabled to receive or disburse funds via a funds transfer request. There may be some Florida Bank of Sarasota
account(s) that you do NOT want enabled for funds transfer capabilities via Online Banking. Please indicate these account(s) below.
Account Type:
None Checking Savings Loan Time Deposit (CD)

Please double check and confirm your entries before you submit this form. I have checked my entries and they are all correct.

YES, I agree to the terms and conditions.
YES, Please process my application.

  

OR PRINT AND MAIL/FAX FORM

You can print an Enrollment Application (43k pdf) and mail or fax it to your branch.

Get Acrobat Reader To view the application you will need Adobe Acrobat. To download the free version of Adobe Acrobat please
click here.



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