Personal On-Line Banking Application

I certify the information provided is true and correct. I authorize Campbell & Fetter Bank to verify any information included in this application prior to allowing access to my accounts.

I will read the On-Line Banking Agreement and hereby agree to be bound by the terms and conditions of this agreement prior to access of my accounts for the first time. The On-Line Banking Agreement is subject to change.

Name:
Address:
City, State Zip:
Last 4 digits of SSN:
Phone:
Email:
Signature: