New Champion's Choice Checking Account
This is only an application for a deposit account. It is not a legal agreement to provide products or services and the Bank is under no obligation to open the account requested. All new deposit accounts are verified through National Check Protection Services Inc. (NCPS) or Chexsystems.
* denotes required field
Primary Account Holder
*
First Name
*
Last Name
*
Social Security #
Driver's License #
*
Date of Birth
Title
E-mail
*
Address
*
City
*
State
*
Zip
*
Phone
*
Mother's Maiden Name
Secondary Account Holder
First Name
Last Name
Social Security #
Driver's License #
Date of Birth
Title
E-mail
Address
City
State
Zip
Phone
Mother's Maiden Name
Employer Information
*
Company
Address
City
State
Zip
*
Phone
*
Occupation
(If retired or not employed, indicate as such in required fields)
Employer Information
Company
Address
City
State
Zip
Phone
Occupation
Tax Information
*
Tax ID #
Tax ID Certification
(Please select one)
Taxpayer I.D. Number
- The Taxpayer Identification Number shown above (TIN) is my correct taxpayer identification number.
Backup Withholding
- I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest and dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding.
Exempt Recipients
- I am an exempt recipient under the Internal Revenue Service Regulations.
Nonresident Aliens
- I am not a United States person, or if I am an individual, I am neither a citizen nor a resident of the United States.
Type of Account
*
Ownership Type
Individual
Joint-With Survivorship (As tenants in common)
In Trust for
Uniform Gifts to Minors Act trust
POD Beneficiary
ºnote: if
In Trust for Other
,
Uniform Gifts to Minors Act trust
, or
POD
is selected, please fill out beneficiary information to the right
*
Product Type
Champion Choice Checking
Unlimited check writing
No-fee ATM transactions at EBSB ATMs
Free ATM Debit Card
Free first order of checks
Online Banking with Bill Pay
Free Telephone Banking
Free Investment Analysis and retirement planning
$50.00 Minimum Deposit to Open
Add On Features
Build your account
according to your needs.
Free unlimited access at any ATM w/no transaction fee from EBSB
1
Free Statement Savings Account
Reimbursement of check orders up to $18
No annual fee on Easy Credit (Line of credit
2
)
Waived annual IRA fee
Free single signer Traveler's Cheques bank checks and money orders
½% discount on auto loans w/auto payment
$100 discount on mortgage closing cost
Waive annual Home Equity Line of Credit (HELOC) fee
Discounted American Express Gift Cards & Gift Checks
25% Discount on Safe Deposit Box Rental
1
Some banks may charge additional fees for use of their ATMs.
2
For qualified applicants
Opening Deposit Amount
Beneficiary
First Name
Last Name
Address
City
State
Zip
Date of Birth
Social Security #
CHAMPION'S CHOICE 4
choose up to 4
$10 per month or $750 minimum daily balance in checking or a $2,500 combined minimum balance b/w Checking and Statement Savings to waive fee