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Online Enrollment

Welcome to The Bennington State Bank Online Banking enrollment form. This form is only for initial enrollment in Online Banking. All other features can be accessed once logged into the Online Banking System or Mobile Banking Apps.

Personal information

Phone Number
Address

Agreement

User ID

Enroll for Online Banking » Personal information »

Personal Information

* Fields in bold are required

Social Security Number
First Name		Middle Name	Last Name
Date of Birth	ex. 03/01/1970
Email Address

What is your mother's maiden name?

Phone Number

Enter your phone information below:

Phone Number Enter a minimum of 10 digits and a maximum of 15 digits with no dashes
Home
Mobile
Work

Address

* Fields in bold are required

	Primary
	International address
Address 1:
Address 2:
City:
State:
Zip Code:

Account Number

Enter your account information below:

Account Number

Account Type

Add another Account