I understand that this is an application for an account and is subject to approval.
I/We certify that the information on this application is true and complete to the best of my/our knowledge. First Service Bank is authorized to verify, exchange and retain credit and employment information contained herein and relative to this application.
If you have any questions, please contact us at 800-669-2517 x293 or by e-mail at email@example.com. NOTE: Unlike this application form, emails sent to this address are not secure. Please DO NOT include any private or confidential information.
In order for us to process your application correctly, we may need to contact you to verify some of the information or request more necessary documentation. This information will also allow us to better satisfy our regulatory requirements to "KNOW YOUR CUSTOMER." We appreciate you supplying the information for that purpose.
SPECIAL NOTE: When opening any account with First Service Bank , we need to verify your identity to ensure the security of your private financial information. If this is needed, as is the case with most account types, a First Service Bank representative will call you requesting that you either fax/mail in the proper proof of identification or stop by any FSB location.
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.
PLEASE PRINT THIS APPLICATION USING THE BUTTON BELOW. YOU MAY FAX THIS APPLICATION TO:
OR bring your application to the branch location nearest you.
Mountain View: 870-269-7211