New Account Application

Due to system enhancements being installed, our system will be unavailable Sunday, February 5, 2012 from 11:00 p.m., until 5:00 a.m., Monday, February 6, 2012.

New Account Application

* Indicates Required Information
** Indicates that at least one field is required.

Acct. Holder Info	PRIMARY OWNER	JOINT OWNER
Name*
Business Name
D.O.B.*
SSN* (###-##-####)
P.O. Box **
Street Address **
City*
State*
Zip*
Driver's License Number*
Driver's License State*
Employer*
Home Phone*
Work Phone*
E-mail*

OWNERSHIP OF ACCOUNT
Personal Accounts	Single with Payable on Death Single without Payable on Death Joint with Right of Survivorship
Commercial Accounts	Sole Proprietorship Corporation Profit Corporation Non-Profit Unincorporated Association Other Partnership

ACCOUNT INFORMATION
Initial Deposit
Previous Bank
Check Options	Duplicate Checks Include home phone number on checks

CHECK ONE OR MORE OF THE ACCOUNTS BELOW TO APPLY FOR:

CHECKING

Personal, Interest Bearing Checking

Investment CheckingFirst Rewards

Checking

First Class Account1st Class Gold AccountFree Checking

Commercial Checking

Free Business Checking AccountRegular Business CheckingInvestment Checking (Sole-Proprietorships, Non-Profit Organizations)

SAVINGS / INVESTMENT ACCOUNTS

Personal

Savings AccountSavings
1st Insured Money FundSuper Money Market Account

Commercial

First Insured Money FundSuper Money Fund

CHECK ONE OR MORE OF THE ACCOUNTS BELOW TO APPLY FOR:
Visa Check CardATM Card Merchant Credit Card SetupSafe Deposit Box

If you have any questions, or need assistance with your application, please contact us at (918) 251-5371. Once your application is received, we will contact you within 24-48 hours to review the information or request additional information that will allow us to better satisfy the regulatory requirements of Know Your Customer. We appreciate your cooperation with the information requirements for that purpose. Once your application is reviewed and approved, it will be necessary for you to come to one of our four locations to sign your documents and provide proper identification.

By clicking below, I hereby certify that everything I have stated above is correct. You may keep this application whether or not it is approved. By clicking below, I authorize you to check my credit and employment history and verify other information which I have provided to you.

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Locations

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Locations

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Services

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South Elm Facility (map)

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Aspen Facility (map)

Identity Theft Information