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Union State Bank

Equal Housing Lender FDIC

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Order Checks Online with Harland Clark

To sign up for Internet Banking, complete the form below and click the Submit button. After your account is setup, we will e-mail you a temporary password that you will need to use in conjunction with your Login User ID. The first time you log in, you will be required to change your password. After you login, you can change your Login User ID.

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Personal information

Phone Number
Address

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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
Gender

What is your mother's maiden name?

Phone Number

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Phone Number
Home
Mobile
Work

Address

* Fields in bold are required

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

Account Number

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Account Number

Account Type

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Union State Bank

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