Williamsburg First National Bank Online Banking Application

Please check the box indicating the type of Online Banking service requested:

Online Banking OR

Online Banking with Online Bill Payment

     MEMBER FDIC

NOTE: Must be aWilliamsburg First National Bank customer to apply. Please complete the application online. Print, sign and return to the address below.

Account Owner/Signer Information

Please provide information for each account owner or signer on the accounts that will be accessed through Online Banking. Ownership on all accounts must be the same and match the individual(s) listed below.

Name – Primary Account Owner/Signer               

Name – Joint Account Owner/Signer

Name – Business Account(if applicable)

Name – Business Account(if applicable)

E-Mail

E-Mail

Account Information

Please provide the Account Type and the Account Number for each account that will be accessed using Online Banking. Please note all accounts(s) must have the same ownership as the individuals(s) indicated above.

1.  Checking Savings  CD Loan

4. Checking Savings CD Loan

Account #:

Account #:

2.   Checking Savings CD Loan

5. Checking Savings CD Loan

Account #:

Account #:

3. Checking Savings CD Loan

6. Checking Savings CD Loan

Account #:

Account #:

Account #:

ONLINE BANKING TERMS AND CONDITIONS AGREEMENT

I (We, if joint account holder) have reviewed the “Online Banking Terms and Conditions Agreement” for Williamsburg First National Bank Online Banking Service and accept such Online Banking Terms and Conditions Agreement. By using the online financial services provided by Williamsburg First National Bank, I/We agree to abide by the terms and conditions of this agreement. I/We hereby authorize Williamsburg First National Bank to charge the primary account indicated above each month for the appropriate fee amount as outlined in the Online Banking Terms and Conditions Agreement

______________________________________

______________________________________

Signature-Primary Account Owner/Signer

Date

  Signature - Joint Account Owner/Signer                    Date

Return Application to Williamsburg First National Bank or Mail To:

Williamsburg First National Bank

200 West Main Street
P.O. Box 1066
Kingstree, S.C. 29556-1066
Fax# 843-355-6686

MEMBER FDIC

Upon receipt of completed application, an Online Banking Welcome Letter will be mailed to the applicant(s) to the address on file with Williamsburg First National Bank. This letter will include your first time logon instructions and temporary account Access ID and Password.