Grand Banking Anytime Application
To apply for online banking services, complete this
application, print, sign and return by fax or mail to:
GRAND BANK
Attn: Grand Banking Anytime
P.O.Box 700337
Dallas, TX 75370
Fax: (972)-735-7333
Yes! I want on-line access to my finances!
Once your application is received and approved by Grand Bank, you will receive your access ID and password. The first time you access your account, you will be required to change your access ID and password. If you believe the security of your access ID or password has been compromised, promptly notify us.
On-Line
Banking Customer Information
*Customer Name
*Street Address
*City State Zip
*Mother's Maiden Name Date of Birth:
*Social Security #
*Home Phone Business Phone
*E-mail Address
On-Line Banking Services Requested
| View Balances On-Line | |
| Transfer funds between accounts | |
| Grand Bill Pay | |
| Grand E-Statements (Separate Application required - Click here for application. |
On-Line Banking Account Information (Ownership of accounts)
| Account Number |
Account Type |
| 1.* | Checking Savings CD's Loan |
| 2.* | Checking Savings CD's Loan |
| 3.* | Checking Savings CD's Loan |
| 4.* | Checking Savings CD's Loan |
| If you have additional accounts, click here for an expanded form which you may complete, print, and return to Grand Bank as part of this application. | |
By signing my name or initials in the space provided following this paragraph, I hereby give permission to receive future disclosures and notification of changes to the terms and conditions via my email address noted above. I acknowledge that such disclosures and notifications may also be sent to the mailing address shown on the record of Grand Bank.
*Customer Signature: _______________________________________________________
Set-Up Request Cannot Be Processed Without Customer’s Authorization Signature
By signing below, I hereby make application for Grand Banking Anytime Services. I agree to comply with Grand Banking Anytime Terms and Conditions Disclosure, which I agree govern my account. I agree to all terms and conditions provided herein, which may be changed from time to time by the Bank in the manner provided herein, if applicable. My use of On-Line Banking Bill Payment Service, if applicable, signifies that I have read and accepted all the terms and conditions of the service including those referenced above and that I have received a copy of the Grand Bank Account Deposit Agreement Terms and Conditions.
Please return my initial set-up password and user information to:
my email address at
or
my mailing address at
Customer Signature_____________________________________
Date____________
Customer Signature_____________________________________ Date____________
*Must have this information to establish On-Line Banking access
