Business Information

  • OK Business Name is required
  • OK Contact Name is required
  • Optional OK Business Address (Not a P.O. Box) is required
  • Optional OK City is required
  • Optional OK State is required
  • Optional OK Zip is required
  • OK Business Phone is required
  • Optional OK Business Cell Phone is required
  • OK E-mail is required

Contact Information

  • Optional OK Choose the location you would like to complete your application: is required
  • How would you prefer to be contacted?

    OK How would you prefer to be contacted? is required
  • When is the best time to contact you?

    OK When is the best time to contact you? is required

Comments

  • Optional OK is required

Security Code

  • OK is required
  • First Bank Kansas reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, you grant full permission to do so.

    E-Sign Act Disclosure and Consent

    • Before proceeding you must confirm that you have read and agree to the terms of the Electronic Signature Act Disclosure available at the link below.
    • OK
      You must read and agree to the terms of the E-Sign Act disclosure. Please make sure that you read it carefully and keep a copy for your records. Please agree to the E-Sign disclosure to continue.

    USA PATRIOT Act Notice

    Important Information About Procedures for Opening a New Account:
    To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

    What this means for you:
    When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

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