American National Bank Electronic Banking Services Application

To get started with American National Bank TeleWeb, simply complete, sign, and return the enrollment form today.
You may either mail the completed and signed application to the address below, or drop it off at one of our branch locations:
American National Bank, Attn: Customer Service, P.O. Box 5009, Ardmore, Ok. 73403

Please note:   After you have completed and printed the application, please click on the reset button at the bottom of this page to clear all input fields.  Information on this web page is neither captured, stored, nor transmitted by American National Bank.

System Requirements:  Connection to the Internet
Applicant Information:

Applicant:

Co-Applicant :

Address1:

Address2:

Email Address:

  City:

 State:
   ZIP:
Applicant SSN: Home Phone:
Co-Applicant SSN: Work Phone:

Bank Information:
Checking Account Number:

Electronic Banking Fees:

No fees at this time.
Consumer Account Commercial Account

I/we hereby authorize American National Bank to process transactions as requested through the American National Bank  Electronic Banking Service, including transfers and loan payments. I/we agree that my/our first use of the Service will signify our acceptance of the American National Bank Electronic Banking Agreement.  I/we also authorize American National Bank to use credit reports in connection with this application to verify credit standing.

Signature:______________________________________   Date:__________________

Signature:______________________________________   Date:__________________

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To clear this information,  please press    

Affiliated Customers:

1.   I / We authorize the TeleWeb customer named above, in the applicant section, to have access to all of my bank accounts accessible through the TeleWeb service via the Internet.      


2.  If yes, what is your primary social security number on the accounts you wish to provide access?

3.  Do you want the individual/individuals named in the above applicant section of this form to have the ability to make transfers and payments to and from your accounts?

I understand by answering yes to the above question number (1)that I am authorizing the individual or individuals named above, in the applicant section, access to all of my financial information accessible through the TeleWeb Service.  I also understand that by answering yes to the above question number (3) that I am authorizing the same individual or individuals named above the ability to make my loan payments and transfer funds into or out of my accounts. It is also known by me that funds transferred from my account can be transferred to accounts not owned by me by the above mentioned individual or individuals.

 

All account owners must sign and date below to give authorization for the above.

Signature:______________________________________   Date:__________________

Signature:______________________________________   Date:__________________

Signature:______________________________________   Date:__________________

Signature:______________________________________   Date:__________________

Please print, sign, and mail this application to us at:
American National Bank
Attn: Customer Service
P.O. Box 5009
Ardmore, OK 73403

American National Bank must receive your signed authorization before setting up your Electronic Banking accounts.

To protect your privacy, please clear all fields before leaving this web site.

To clear this information,  please press    

EFT Disclosures (please print and keep for your records)

American National Bank Electronic Banking Agreement