Access My Account

Personal Business
Access ID: 

Online Banking Enrollment Form

Please provide all of the information requested below to enroll in Business Online Banking. The information you enter will be verified for security purposes, and therefore, must match exactly to your most recent statement. You are required to fill in the fields marked with an asterisk * before clicking on the "Submit" button. If you have any questions regarding your enrollment in Business Online Banking, please contact Melissa Brandes or a Personal Banker at 920-863-2161 during regular business hours. Thank you for your interest in Denmark State Bank's Online Banking service. We hope you enjoy the convenience of accessing your accounts anytime, anywhere.

 

* = Required Field

Business Name:*

A value is required.
Business Tax ID Number:*

A value is required. Numeric value required.
Primary Contact Name:*

A value is required.
Primary Contact Title:*

A value is required.
Primary Contact Date of Birth:*

A value is required.
Business Address.*

A value is required.
City:*

A value is required.
State:*

A value is required.
Zip Code:*

A value is required.Invalid format.
Business Phone:*

A value is required.
Business Fax:
Primary Contact Email Address:*

A value is required.Invalid format.
Email Address Confirmation:*

A value is required.The values don't match
Primary Account Number:*

A value is required.
Last Statement Balance:*
(Ending balance listed on the last statement you received. This balance must be correct to complete enrollment.)

A value is required.
Primary Account Nickname:*

A value is required.

Additional Account Access:
(Please list all of the accounts you would like to view through Business Online Banking.)

Account Number
Account Type
Account Nickname
(Example: Payroll)
Create your Access ID:*
(You will use this Access ID to sign in to Online Banking; It must be at least 6 characters long with no spaces. We recommend using a combination of letters and numbers.)

A value is required.
Security Question:*
(This question will be asked as an additional security measure when you call for assistance. Example: What is my mother's maiden name?)

A value is required.
Security Answer:*

A value is required.

We are proud to offer a variety of cash management services to help you more effectively and efficiently manage your business. The following questions will help us determine which products and services best suit your business needs. (Pricing is based on the services selected and the type of business account you have. We will contact you with this information before we begin your enrollment. Additional paperwork may be required.)

Would you like to transfer between accounts?*
Yes      No

Would you like to set up other authorized signers or employees with online access?*
Yes      No

Would you like to use online Bill Payment (checking only)?*
Yes      No

Would you like to use the ACH network for payroll direct deposit or payment collection?*
Yes      No

Would you like to be able to initiate outgoing wire transfers?*
Yes      No

Would you like to receive your statement via e-mail?* (For the accounts listed above.)
Yes      No

Would you like to receive your temporary password via e-mail or by
phone?* (You will receive your temporary password in approximately 7 to 10 business days.)
Email Phone

Please note: Denmark State Bank ensures the accuracy and security of any data that is transmitted to us using this secure form. However, if you choose to have your temporary password or e-statement sent to you via e-mail, please be aware that e-mails are not secure transmissions.


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For Internal Use  
Employee Name:
Date: