Wednesday, September 08, 2010
 
Enrollment

Alliance National Bank Personal Online Banking Enrollment
To enroll for Alliance National Bank's online banking services, please complete this enrollment form online, print, sign, and return to us via:
 

Fax@ 706-270-5267
Mail: Alliance National Bank
Online Banking Department
P. O. Box 607
Dalton, GA 30722-0607

or in person at our location
On joint accounts, each signer must submit a separate application.
Customer Information
 
Please type or print
*Full Name
*Address
*Address
*City
*State *Zip
*Daytime phone
Evening phone
Mobile phone
*email address
*Date of Birth
Drivers License Number
*Social Security Number
*Account Number
* indicates a required field
Requested Services
Account Access - Free
Access account balances, transfer money and conduct common banking tasks online.
 

For security and identification purposes please complete the following:
 

*City of Birth
*County of Birth
*Mother's Maiden Name

Signature:_________________________________________ Date:______________
By signing or submitting this form, I acknowledge that I have read and agree to the terms and conditions and I authorize Alliance National Bank  to issue a temporary password on my behalf, which I must change to a private password of my choosing the first time I log in to Alliance National Bank Online Banking.

 
Alliance National Bank


Member FDIC

Beginning July 1, 2010 Alliance National Bank will no longer participate in the FDIC�s Transaction Account Guarantee Program. Therefore, after June 30, 2010, funds held in non-interest-bearing transaction accounts will no longer be guaranteed in full under the Transaction Account Guarantee Program, but will continue to be insured up to $250,000. under the FDIC�s general deposit insurance rules through December 31, 2013.

To report lost or stolen ATM or Visa Debit Cards, call us immediately at:
706-279-1600 or 1-877-461-2265 (toll free) After hours or weekends call
The afterhours number will be 1-800-500-1044

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