Open Account - West Bend Savings Bank

OPEN ACCOUNT

Please complete all information. When finished please send your application to the bank by pressing the Submit button at the bottom of the form. If opening multiple accounts, please use a separate form for each account. All our forms are encrypted for your security, but if you prefer, you may print out this form and mail to:

West Bend Savings Bank
PO Box 437
201 S. 5th Ave
West Bend, WI 53095

To find out what account is best for your needs, please click here

Open an Account:

Type of Account

Money Market Savings		Super Savings
Premier Checking		Statement Savings
Totally Free Checking		50+ Interest Checking
VIP Interest Checking		Premier Gold Checking
IDEAL Rewards Checking

Amount account will be opened with: (minimum deposit is $10.00 for Savings $50.00 for Checking)

Source of Deposit

Transfer from current account

Other

Current account number or if other please explain

Name

Name of joint account owner (if any see below)

Address

City, State, Zip

E-mail

10.

Home Phone Number

11.

Work Phone Number

12.

Social Security Number

13.

Taxpayer ID Number (if different from SS Number)

14.

Date of Birth (mm/dd/yy)

15.

Mother's maiden name for account verification

16.

Drivers License Number

17.

Other Instructions or needs you may have

If this is an individual account, please proceed to the bottom of this form and Submit the information.

If this is a Joint Account, please fill out the following section 18-27, as well. Thank you!

18.

Name of joint account owner

19.

Address

20.

Address

21.

City, State, Zip

22.

E-mail

23.

Home Phone Number

24.

Work Phone Number

25.

Social Security Number

26.

Taxpayer ID Number (if different from SS Number)

27.

Date of Birth (mm/dd/yy)

28.

Before you submit this application, you must read our disclosures.

(1 required)

I have read and understand this information

Headquarters at: 201 South Fifth Avenue West Bend, WI 53095 (262) 334-5563

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