Commercial Enrollment Application
"Your Own Local Online Bank"
Date:
Tax ID:
Company Name:
Mailing Address:
Telephone Number:
Internet access is granted to account signers who are considered Primary Users.
Primary Users must be authorized account signers.
For security purposes, user identification codes and passwords are required in order to access The Bank of Glen Burnie's online banking
service. Maintaining the secrecy of user identification and passwords is the responsibility of the Primary User. Third party users given
access by the Primary User are also the sole responsibility of the Primary User.
The Bank of Glen Burnie® reserves the right to terminate use of internet banking at any time without prior notice. You may terminate
access at any time by providing a written request of termination following the completion of previously authorized transactions.
The terms, conditions and regulations that were accepted when opening your accounts apply to all internet transactions. By utilizing
The Bank of Glen Burnie's internet banking you acknowledge that you have read and understand your responsibilities as a Primary User.
Full Name:
DOB:
Phone Number:
Email Address:
SSN:
Account Number(s):
Signature:
Full Name:
DOB:
Phone Number:
Email Address:
SSN:
Account Number(s):
Signature:
To enroll additional Primary Users, attach a separate sheet with the pertinent information
or complete an additional enrollment application.
For processing, deliver application to your local branch office. Notification of acceptance
will be made via email. Once the email has been sent, you have 10 business days to enroll.
For Bank Use Only
Signature Verified by:
Date:
Request Received by:
Date:
View Only/Non-Profit
Manager Approval:
Processed by:
Date: