Enrollment Form

To sign up for FNB Wyoming Online Banking, fill in the information below print it and fax or mail it to the address below. In a few days, you will receive a letter containing your user name and a temporary password. Use the user name and this password to log in to FNB Wyoming Online Banking. The first time you log in, you will be asked to change your password.

Mail to:
First National Bank of Wyoming
P.O. Box 279
Wyoming, De 19934-0279
Or:
Fax to 302-531-0660

 


Applicant's Signature: _____________________________Date: __________

 


Co-Applicant's Signature: __________________________Date: __________

 

 

Customer Information:

First Name:

 

Last Name:

 

Address:

 

City:

 

State:

 Zip: Phone:

E-Mail:

 

Primary Checking Acct. #:

 

Requested Services:
 

 

Internet Banking

  

 

Bill Payment

  
 

Access account balances, transfer money, and conduct common banking tasks online

  

Pay bills on-line. Pay any individual or company. Other fee may apply.

 

Account Information:

Account Number:

Account Description, as you identify this account:

  

1)

 

2)

 

3)

 

4)

 

5)

 

6)

 

7)

 

8)

 

Please Note: You must be an authorized signer on each of these accounts.