First National Bank and Trust Co., Beatrice

First National Bank of Beatrice - Internet Banking Enrollment Form

To sign up for Internet Banking, complete and print the application. Sign the form and send it to First National Bank and Trust Co., Beatrice via US mail, fax or hand deliver to any First National Bank and Trust Co., Beatrice location. Once the form is returned to us, you will receive an email within 48 hours containing your login ID. Soon thereafter, a first time password will be sent.

First Name:

Last Name:

Address:

City:

State:

Zip: Phone:

E-Mail:

Key word:

Key word explanation (ex. mother's maiden name):

Last 3 Digits of Primary Checking Acct. #:

Internet Banking

Bill Payment

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

Pay bills on-line. Pay any individual or company. $4.95 for up to 20 bill pays per month.

Last 3 digits of Acct. Number and Access Type*:

Account Identifier:

* Definitions for Access Types:
Full Access - You will have the full access available on this account.
View & Deposit - You may view account information and transfer funds into this account.
View Only - You will be able to view balances and transactions.
Deposit Only - You will be able to transfer funds into this account from other accounts with Full Access. You will not be able to view balance or transaction information.

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

To access, download and print, you will need to have:
• A personal computer with internet access.
• Browsers supported for use: Microsoft Internet Explorer 6.x and greater, Netscape 7.x and greater.
• Other browsers may be used but are not technically supported by S1 Internet Banking System.
• First National Beatrice authorized Internet Banking User Identification.
• Your First National Beatrice Internet Banking Password.

Applicant Signature: Date:

Joint Applicant Signature: Date: