Please fill out the fields in the form to the right. One of our representatives will contact you within one business day to complete the process.

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There is a 20 minute time limit on this application.

Student Banking

Branch Information:

  • OK Please select the branch location you wish to work with to complete the new account process: is required

 

  • Are you a new customer?

    OK Are you a new customer? is required

Personal Information:

  • OK Name is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • Home Phone

    - -
    OK Home Phone is required
  • Daytime Phone

    - -
    Optional OK Daytime Phone is required
  • OK Email is required
  • OK Mother's Maiden Name is required
  • OK Employer is required
  • Work Phone

    - -
    OK Work Phone is required
  • OK Annual Income is required
  • OK Driver's License or State ID Number is required
  • OK State of Driver's License (if applicable) is required

Address Information:

  • OK Residential Address (Not a P.O. Box) is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK Mailing Address (if different than above) is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Use residential address for mailing address

    OK Use residential address for mailing address is required

 

  • Number of Joint Owners on this Account

    Optional OK Number of Joint Owners on this Account is required

Joint Applicant #1:

  • OK Relationship to Primary Applicant is required
  • OK Name is required
  • Date of Birth

    OK Date of Birth is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Home Phone

    - -
    OK Home Phone is required
  • OK Employer is required
  • Work Phone

    - -
    OK Work Phone is required
  • OK Annual Income is required

Joint Applicant #1 - Current Address

    OK Different from Borrower 1 address. is required
  • OK Residential Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required

Joint Applicant #2:

  • OK Relationship to Primary Applicant is required
  • OK Name is required
  • Date of Birth

    OK Date of Birth is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Home Phone

    - -
    OK Home Phone is required
  • OK Employer is required
  • Work Phone

    - -
    OK Work Phone is required
  • OK Annual Income is required

 

  • Please enter any additional information you would like us to know... OK Comments is required

Security Code:

  • OK is required

 

    American Trust & Savings Bank 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, I/we grant full permission to do so.

  • This document is being secured using SSL encryption provided by your browser. Your information will be encrypted when using this form while in transit between your browser and American Trust & Savings Bank.

This form supports the maximum level of encryption technology your browser allows, up to 256-bit SSL encryption to protect your personal information while it is in transit.