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NetBanker Application

First & Peoples Bank and Trust Company would like to welcome you to our on-line banking services, NetBanker and ePay. We believe that you will find both of these services a wonderful addition to the products and services already provided to you, our valued customers.

NetBanker is our on-line banking software. Check account balances, view check images, review current and previous statements, transfer funds, make loan payments, all with a click of your mouse.

ePay is our on-line bill payment service. Pay almost any bill with this service by automatically debiting your bank account. No checks to write, no stamps to buy, and no trips to the Post Office. You can set up one time or recurring payments. Pay the easy way, with ePay.

Personal Information

Name * Birth Date * Last 4 of Social Security Number * Address * City * State * Zip * Home Phone * Work Phone * Email *

Joint Applicant Information

Name Birth Date Last 4 of Social Security Number Home Phone Work Phone Email

ePay Services

In addition to using NetBanker services, I (we) would also like to sign up for ePay. I (we) understand this service will allow me (us) to pay bills over the internet by directly debiting my (our) designated deposit account(s) with First & Peoples Bank and Trust Company. I (we) understand the recommended lead-time for electronic payments is four business days and ten business days for check payment.

ePay Services

I (we) understand and agree to the above terms.

I do not wish to use ePay services at this time.

Security Information

Please enter the primary applicant's Mother's maiden name *

Account Information

Please list all accounts that you want to access with NetBanker. This may include checking, savings, Christmas Clubs, CD/IRAs, loans, overdraft protection, and safe deposit boxes. For security purposes, NetBanker does not display account numbers. Each account listed must be given an individual name/description such as “My Checking Account” or “Vacation Fund”.