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APPLY
TODAY
Start enjoying the convenience and added privileges of FCB Online
Banking today. To apply, print and complete this application and deliver
it to the First Community Bank of Bedford County location nearest you.
Once your enrollment is complete, you will receive a welcome package via
postal mail. This package will contain your Online Banking ID and will
walk you through the new user setup. Before you know it, access to your
accounts will be as close as your keyboard.
ONLINE BANKING AND BILL PAYMENT APPLICATION
All accounts in which you are listed as an owner are accessible through
First Community Bank's Online Banking. We will not pass any account
numbers over the internet, nor will any of our employees will ask you
for your account numbers over the internet. Please print this form and
bring into any one of our offices OR mail to:
First Community Bank
PO Box 1027
Shelbyville, TN 37162
Attention:
Internet Banking
Please sign me up for Online Banking:
E-mail address: ____________________________________________
Name: ___________________________________________________
Address: _________________________________________________
City:_____________________________________________________
State: ___________________________________ Zip: ____________
Phone: ____________________ Business Phone: ________________
Social Security Number:______________________________________
Please sign me up for the following services:
______ Account Access
______ Please give me access to and the ability to transfer funds
between ONLY the following listed accounts on which I am an owner.(please indicate account types:CHK/SAV/LON/CD)
Account Number _______________________ Type _____________
Account Number _______________________ Type _____________
Account Number _______________________ Type _____________
Account Number _______________________ Type _____________
______ Free Bill Payment
I elect to use the following as my designated BILL PAYMENT account:
Account number _____________________________________
Please
read before signing:
I understand the information in this form is only general information.
I will read the full
First Community Bank Online Banking Agreement. By
using Online Banking through
First Community Bank Online Banking
Agreement and such other terms and conditions or amendments thereto, as
may be established by First Community Bank and communicated to me. I
hereby authorize First Community Bank to verify any information included
in this application and allow access to all the accounts listed above on
which I am an owner.
By signing below, I hereby agree to the above state conditions.
Signature__________________________________________
Date: _____________________
To speak with a Online Banking representative,
contact Support at 931-685-1444 or e-mail
fcb@first-community.net.
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