Welcome to Citizens National Bank
Online Banking Enrollment Form

To sign up for Internet Banking, complete and print the application. Sign the form and send it to Citizens National Bank via US mail, fax or hand deliver to any Citizens National Bank location, or simply fill out the form online and click the SUBMIT button. Once the form is returned to us, you will be contacted within 48 hours. If you have not been contacted within 48 hours please contact our call center at 972-938-4300.
Customer Information
First Name:
Last Name:
Address:
City:
State:  Zip: Best DAYTIME Contact Phone Number:
E-Mail:
Social Security Number:
Primary Checking Acct. #:
Account Options
Internet Banking Bill Payment
Access account balances, transfer money, and conduct common banking tasks online Pay bills online. Pay any individual or company.
Account Information
Account Number: Access Type*: Account Description:  Account Type:
1)  
2)  
3)  
4)  
5)  
6)  
7)  
8)  
*Definitions for Access Type
  • Full Access - You will have the full access available on this account.
  • View & Deposit - You may view account information and transfer funds into this account.
  • View Only - You will be able to view balances and transactions.
  • Deposit Only - You will be able to transfer funds into this account from other accounts with Full Access. You will not be able to view balance or transaction information.

Please Note: You must be an authorized signer on each of these accounts.
I certify that everything I have stated in this application and on any attachments is correct.  You may keep this application whether or not it is approved.

Applicant Signature:              Date: 

Joint Applicant Signature:     Date: