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Apply For...

Apply For A FSB Account

 

Please complete the information below and a Farmers State Bank representative will contact you within 48 hours.

 

PRIMARY APPLICANT INFORMATION

 
Type of Account:
 
First Name: Home Phone #
MI: Cell Phone #
Last Name: Email Address:
Address: Date of Birth:
City: City of Birth:
State: Employer:
Zip Business Phone #:
Mothers Maiden Name:    

SECONDARY APPLICANT INFORMATION (If Applicable)

First Name: Home Phone #
MI: Cell Phone #
Last Name: Email Address:
Address: Date of Birth:
City: City of Birth:
State: Employer:
Zip Business Phone #:
Mothers Maiden Name:    
   
What number should we use to contact you?
What time of the day is best to contact you?
   
Are you interested in other FSB Accounts?
   
 

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Fax #: 319-287-3966
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