Fremont Bank - BOB eStatement Enrollment Form

Business Online Banking e-Statement Enrollment Form

To sign up for FREE e-statements, fill in the information below and press the Submit button. You must be an authorized signer on all business accounts you designate in order to establish e-Statements. You will no longer receive statements by mail when you enroll for e-Statements, but you can switch back to mail delivery at any time.

* Denotes required field.

* Buiness Name:

* Principal / Signer Name:

* Phone:

Alt. Phone:

*Send notification of account statement
availability to the following email address:

If this email address belongs to someone
other than the Principal, please specify
their name and function:

* Account Numbers (up to 10):

1.	Account *invalid	6.	Account *invalid
2.	Account *invalid	7.	Account *invalid
3.	Account *invalid	8.	Account *invalid
4.	Account *invalid	9.	Account *invalid
5.	Account *invalid	10.	Account *invalid

Comments or additional account numbers
to be added:

Terms and Conditions I have either printed or downloaded the Business Online Banking Terms and Conditions and agree to be bound by its terms.

When you check the box above and click the “Submit” below, it constitutes your acceptance and approval of e-Statements electronic delivery services, and you hereby give your affirmative consent to receive electronic communications as described therein. You further agree that your computer satisfies the hardware and software requirements specified and that you have provided us with a current email address for electronic communications.

To view your e-Statements you will need Adobe® Acrobat Reader® (version 4.0 or higher). Many computers have an Adobe Reader installed, but if you do not have it, the basic software is available for free directly from Adobe’s website http://www.adobe.com.

Submit