Business Online Banking Enrollment Form
Please complete the form below to request enrollment into online banking. When completed, click on the submit button to securely forward the request to customer service for review and processing. We will contact you with your login credentials via email once the application is processed. Should you have any questions, please contact us toll-free at (231) 882-4462 for assistance.
*Required Fields
Customer Information
Please provide at least one email address and one phone number to receive your secure access code for your Online Banking login. You will be required to set your password after entering your secure access code.
 
Company Name:* TIN*:
 
Authorized Officer:*
 
Street*: City*:
State*: Zip*:
Business Phone: Cell:
 
Business Online Banking Packages
 
Basic Package
(View accounts, Internal account transfers, e-Statement(s), Bill Pay)
Wire Transfer Package + Anticipated Daily Processing: $
(View accounts, Internal account transfers, e-statements, online wire transfers)
ACH Package + Anticipated Daily Processing: $
(View accounts, Internal account transfers, e-statements, ACH services)
 
Account Numbers
Please provide the Account Number(s) that you wish to access through Online Banking. All accounts must have the same ownership as the information provided in the Customer Information above.
 
1. 2. 3.
4. 5. 6.
7. 8. 9.
10. 11. 12.
 
Administrator Information
 
First Name: Last Name:
Phone Number: Email Address*:
Requested Login ID*:
 
Signature & Disclosures:
By clicking Submit Enrollment below, I certify that everything I have stated in this enrollment is correct. I authorize Central State Bank to contact me.