The First State Bank Columbus, TX

Electronic Statement Application

Sign up for Electronic Statements

  1. Read the Frequently asked Questions for eStatements.
  2. Read the Electronic Statements terms & Conditions.
  3. Complete the eStatement Application below (one for each account).
  4. Submit the Application.

**IMPORTANT

Before you submit the eStatement Application, you must read the Electronic Statement Terms & Conditions. By choosing to submit the eStatement Application, you are agreeing to the terms, conditions, and fees set out in the Electronic Statement Agreement.

 

Account Name: _______________________________________________

 

Address: ____________________________________________________

 

City: _______________________________________________________

 

State: ____________________________   Zip: _____________________

 

Home Phone #: ______________________________________________

 

Work Phone #: ______________________________________________

 

Cell Phone #: ________________________________________________

 

Email Address (Primary): ______________________________________

 

Email Address (Secondary): ____________________________________

 

Account Number/Numbers: _____________________________________

 

 

I have received, read and agree to the terms, conditions and fees set out in The First State Bank's Electronic Statement Terms & Conditions. I understand my rights and obligations as a consumer of the eStatement service. I also understand the rights and the obligations of The First State Bank as the provider of these services.

 

Signed: ______________________________________________________

 

Printed Name: ________________________________________________

 

Date: _______________________________________________________


Please click here for a New Accounts application, or contact our New Accounts Officer, John J. Polach, Jr. at 979-732-2332 or email us at bankinfo@fsbcolumbus.com.

 

© 2014 First State Bank of Columbus Texas.  All Rights Reserved
420 Walnut - Post Office Box 9, Columbus, Texas 78934-0009
Phone: 979 732.2332 - Fax: 979 732.2016
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