Community Bank Wheaton / Glen Ellyn - Business Account Application

357 Roosevelt Road - Glen Ellyn
100 North Wheaton Avenue - Wheaton
370 South County Farm Road - Wheaton

BUSINESS ACCOUNT APPLICATION


	Business Name
	Business Address
	Mailing Address (if different)
	Phone Number	(include area code)
	Secondary Phone	(include area code)
	EIN or S.S. Number
	In Business Since	(mm/dd/year)
SIGNERS

1.	Name
	Title
	Address
	S.S. Number
	Phone	(include area code)
	Work Phone	(include area code)
	Drivers License#
	Date of Birth	(mm/dd/year)

2.	Name
	Title
	Address
	S.S. Number
	Phone	(include area code)
	Work Phone	(include area code)
	Drivers License#
	Date of Birth	(mm/dd/year)


3.	Name
	Title
	Address
	S.S. Number
	Phone	(include area code)
	Work Phone	(include area code)
	Drivers License#
	Date of Birth	(mm/dd/year)


4.	Name
	Title
	Address
	S.S. Number
	Phone	(include area code)
	Work Phone	(include area code)
	Drivers License#
	Date of Birth	(mm/dd/year)

AGREEMENT & ACKNOWLEDGMENT

By submitting this account application, I/we ask that an account be opened for my/our benefit and I/we authorize Community Bank-Wheaton/Glen Ellyn to verify any of the above information and to obtain any credit reports it determines to be desirable including but not limited to any credit bureau report on the principal owner. By submitting this account application I/we further acknowledge receipt of an Electronic Funds Transfer and Funds Availability brochure. I/we understand that this application does not bind Community Bank-Wheaton/Glen Ellyn to open or maintain an account for me/us and Community Bank-Wheaton/Glen Ellyn may reject this application or close this account at any time hereafter.

To apply, print this completed application and fax, mail or bring it to any of our locations.