www.opbc.com - (800) 997-7121 - #NotYourOrdinaryBank



Switch Kit
Submitter Information (Required)
First Name (required)
Last Name (required)
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Privacy Policy: Our privacy policy protects the privacy of your personally-identifying information that you provide us online.

Account Holders must reside in County, State.

Security Notice: ONLY fill out this form on-line if you are using a browser with the latest security enhancements. If you do not have the latest version, download it now. This form is NOT cached (saved in your computer's memory) when you QUIT your browser.

Instructions:
1. Complete this
questionnaire and click "Submit" or print and fax it to 000-000-0000.
2. To safeguard your privacy, QUIT your browser and restart it again after using this form. This form is NOT saved in your computer's memory when you quit your browser.
3. We will contact you with the location of our closest office for you to sign a signature card. You may also be requested to provide photocopies of your Social Security card and Driver's License, or other documentation.

The purpose of this questionnaire is for us to gather some information, so you can begin the application process. All applications are subject to approval. Please note that Primary and Joint account holders will need to sign an official account form in person at one of our offices before the account can be opened. For your own account security, we'll also need to photocopy your driver's license(s), or other form of ID, so we can have it on file to accurately identify you in the future.

Individual Account
Name

 
Street Address
Mail Address if different
Home PhoneWork PhoneE-mail Address

 

 

 
Joint Account
Name

 
Street Address
Mail Address if different
Home PhoneWork PhoneE-mail Address

 

 

 
Primary Account Holder Information
Social Security NumberDate of Birth

 

 
Driver's License NumberExpiration Date

 

 
Alternate Access Code EmployerPosition

 

 

 
Joint Account Holder Information
Social Security NumberDate of Birth

 

 
Driver's License NumberExpiration Date

 

 
Alternate Access CodeEmployerPosition

 

 

 
I would like to open
Number of ATM/CheckCard Cards