Internet Banking Application › Root River State Bank

You will need a Root River State Bank deposit or loan account, Internet access and a browser with the proper encryption capabilities to bank online. For security purposes, your Internet Banking ID and PIN (personal identification number) instructions will be mailed to you if you do not apply in person.

* Required Fields

Name *

Social Security Number (last 4 digits)*

Date of Birth *

Address *

City *

State *

Zip Code *

Email Address *

Telephone Number *

Yes - I would like to make ALL existing and future accounts accessible through my Internet Banking ID.

No - I would only like access to the accounts listed below

Accounts to Include:

Account #1 (last 4 digits)

Account #2 (last 4 digits)

Account #3 (last 4 digits)

Account #4 (last 4 digits)

Account #5 (last 4 digits)

Account #6 (last 4 digits)

Account #7 (last 4 digits)

Account #8 (last 4 digits)

Bill Payment Services

Yes - I would like Bill Payment Services

PLEASE READ BEFORE SIGNING: By signing below, applicant acknowledges receipt of the Internet Banking & Bill Pay Agreement and Disclosure Statement, and agrees to the terms of this agreement, and acknowledges receipt of the Federal Electronic Transfer Act Disclosure.* Customer(s) agree(s) that account security is controlled by the Internet Banking ID assigned by the Bank, and the PIN chosen and entered by the customer(s). The customer(s) will protect the PIN and hold the bank harmless from unauthorized use. Any information downloaded by the customer(s) becomes the property and responsibility of the customer(s). I certify that the information given here is true and correct. I warranty that I have the authority to execute this application and to access each account(s) identified at this application.

I Accept - By checking "I accept", you acknowledge you have read and agree to the above statement.

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NoticeThis form requires Javascript be turned on for it to work. Please turn on Javascript and refresh the page if you would like to submit an online form. If you cannot turn on Javascript, we encourage you to contact your nearest branch location.

* You received the Agreement and Disclosure for Electronic Fund Transfers and Automated Teller Cards when you received your account. Please call (507) 867-4120 if you would like another copy

Thank you for your submission!

We will be in touch with you soon.