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TO REPORT A LOST OR STOLEN VISA CHECK CARD AFTER NORMAL BANKING HOURS,
PLEASE CALL
1-800-472-3272
Member FDIC Equal Housing Lender
 
Internet Banking Title
Printer Logo The form can only be processed with your signature. Enter
the information in the application, print, sign and return to
any Glennville Bank location..
Name:
Address:
City:
State:
Zip:
SSN:
Daytime Phone:
Email:
Mother's Maiden Name:

Please sign me up for The Glennville Bank Internet Banking. I understand
there is no charge for balance inquiries and transfers.
  PC Operating System:
Windows 95/98/ME
Windows 2000
Windows NT
Macintosh
Don't Know
Internet Browser:
Internet Explorer 5.5+
Netscape Navigator 6+
AOL
Other
Don't Know

Online Accounts
Please check all the account types for which you want online access and detail
account numbers as well. We will activiate the accounts you select.

All My Accounts Checking
Savings
Commercial Checking
CD Loan
IRA Loan
Money Market Other
Other Other

Signature ______________________________     Date ________________

Upon receipt of your signed application, instructions for accessing your account
online will be mailed to you.
.

 
Glennville Bank
102 East Barnard Street
Glennville, Georgia 30427
(912) 654-3471 * Fax (912) 654-1517
 
Ludowici Bank
5 Cypress Street
Highway 84 East
Ludowici, Georgia 31316
(912) 545-2530 * Fax (912) 545-3334

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