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Online Banking Sign-Up Form

NetTeller Sign-Up Form

Please complete, print and sign this page and return it to one of our three branches. By returning this completed form, you will gain access to all of your Citizens Bank of Ashville accounts.

Customer Personal Information

First Name:    

Middle Initial:

Last Name:   

Address:        

City:             

State:           

Zip code:       

Soc. Sec. #  

Telephone #   

Email:           

Mother’s Maiden Name: 

Customer’s Signature: __________________________________