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Enrollment Form

To sign up for Internet Banking, complete and print the application. Sign the form and send it to PointBank via US mail, fax or hand deliver to any PointBank location.

PointBank
PO Box 278
Pilot Point, TX 76258
940.686.7000 or 972.434.3200
940.686.2301 (fax)



First Name:
Last Name:
Address:
City:
State:  Zip: Phone:
E-Mail:
Social Security Number:
Internet Banking
Bill Payment
Access account balances, transfer money, and conduct common banking tasks online.
All payments are made by check or draft. 		Free for PointBank customers!

I certify that everything I have stated in this application and on any attachments is correct.  You may keep this application whether or not it is approved. 

Applicant Signature:              Date: 


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